Multiple Angioplasties

Question:

I’m new at coding, just out of vascular residency, and I have a question about reimbursement for a Medicare patient. If I do three angioplasties in the right leg, 37220 iliac, 37224 femoral-popliteal, and 37228 tibial, is 37228 paid at 100 percent and 37220 and 37224 paid at 50 percent?

Answer:

Per Medicare reimbursement policy that is correct. The 37228 tibial angioplasty pays the highest, so it is paid at 100%. The other 2 are each reduced by 50% for payment. This is the same anytime more than a single stand-alone CPT code is billed together. This is based on Medicare's multiple procedure payment reduction (MPPR) rule. Private payors typically follow this same payment policy but may vary, so check your payor policies.

*This response is based on the best information available as of 8/14/25.