{
    "code": "37227",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/37227/2023/A",
    "release_specific_url": "https://localishealth.com/cpt/37227/2023/B",
    "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 Q2 2023?",
        "text": "Medicare paid $11,472.85 for CPT 37227 in the office (non-facility) setting and $706.55 in a facility under the Q2 2023 Physician Fee Schedule, effective April 2023. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2023, when it decreased 6.3%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2023,
        "quarter": "B",
        "label": "Q2 2023",
        "effective": "April 1 – June 30, 2023",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 11472.85,
        "facility": 706.55,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 14.25,
        "practice_expense_non_facility": 321.29,
        "practice_expense_facility": 3.58,
        "malpractice": 3.02
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 33.8872,
    "source": {
        "label": "Physician relative value file (Q2 2023)",
        "cms_url": "https://www.cms.gov/files/zip/rvu23b-updated-02/27/2023.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2023/B",
        "file": "PPRRVU23_APR.csv",
        "row": 9676,
        "sha256": "6a47fe38620fee5aff0fbba61f50983de3a9733e23acc7373c453261da6f0cd7"
    },
    "modified_at": "2026-08-04T03:12:43+00:00"
}