CPT 37140
Global 090 ActiveRevision of circulation
CPT 37140 Billing & Documentation Guide
CPT code 37140 (Revision of circulation) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 39, a non-facility practice expense RVU of 14.55, and a malpractice RVU of 10.45, a total non-facility RVU of 64 and facility RVU of 64. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $2135.2, though rates vary from $1875.71 to $2691.26 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 37140, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 37140 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 37140 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 37140
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 39 | 39 |
| Practice Expense RVU | 14.55 | 14.55 |
| Malpractice RVU | 10.45 | 10.45 |
| Total RVU | 64 | 64 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 37140
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $2113.66 | $2113.66 | $2044.5 - $2333.8 | 29 |
| Florida | $2469.7 | $2469.7 | $2291.84 - $2691.26 | 3 |
| Georgia | $2185.85 | $2185.85 | $2152.19 - $2219.5 | 2 |
| Illinois | $2443.79 | $2443.79 | $2291.89 - $2601.21 | 4 |
| Michigan | $2250.25 | $2250.25 | $2140.4 - $2360.09 | 2 |
| North Carolina | $1979.09 | $1979.09 | $1979.09 - $1979.09 | 1 |
| New York | $2381.09 | $2381.09 | $2009.69 - $2612 | 5 |
| Ohio | $2098.17 | $2098.17 | $2098.17 - $2098.17 | 1 |
| Pennsylvania | $2163.5 | $2163.5 | $2078.61 - $2248.39 | 2 |
| Texas | $2112.47 | $2112.47 | $2066.92 - $2275.92 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 37140
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 37140 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 37140
What does CPT code 37140 mean? +
CPT code 37140 represents: Revision of circulation. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 090.
What is the Medicare reimbursement for CPT 37140? +
The 2026 Medicare national average non-facility payment for CPT 37140 is $2135.2. Rates range from $1875.71 to $2691.26 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 37140? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 37140? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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