{
    "code": "37227",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/37227/2016/A",
    "release_specific_url": "https://localishealth.com/cpt/37227/2016/A",
    "description": "Reopening a diseased artery in the thigh or behind the knee where both plaque removal and a stent are used. Plaque is shaved or sanded away with an atherectomy catheter, and a stent is then placed to hold the channel open; any balloon dilation in the same artery is included in this entry rather than described separately. This is the most complete of the femoral and popliteal revascularization group, which otherwise covers balloon work alone, a stent alone, or atherectomy alone, and one code covers that whole territory in a leg however many segments are treated.",
    "answer": {
        "question": "How much did Medicare pay for CPT 37227 in Q1 2016?",
        "text": "Medicare paid $15,186.39 for CPT 37227 in the office (non-facility) setting and $785.19 in a facility under the Q1 2016 Physician Fee Schedule, effective January 2016. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 0.3% decrease from the previous quarter."
    },
    "release": {
        "schedule": "pfs",
        "year": 2016,
        "quarter": "A",
        "label": "Q1 2016",
        "effective": "January 1 – March 31, 2016",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 15186.39,
        "facility": 785.19,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 14.5,
        "practice_expense_non_facility": 406.49,
        "practice_expense_facility": 4.27,
        "malpractice": 3.16
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8043,
    "source": {
        "label": "Physician relative value file (Q1 2016)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16a.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2016/A",
        "file": "PPRRVU16_V0122.csv",
        "row": 8176,
        "sha256": "e7973024293c4f8bd19119f0479a6b7bdc36435376c6b05a22fd3cd3cec5b13c"
    },
    "modified_at": "2026-08-04T03:06:29+00:00"
}