CPT 37186
Global ZZZ ActiveSec art thrombectomy add-on
CPT 37186 Billing & Documentation Guide
CPT code 37186 (Sec art thrombectomy add-on) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 4.8, a non-facility practice expense RVU of 28.79, and a malpractice RVU of 1.06, a total non-facility RVU of 34.65 and facility RVU of 6.52. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $1197.47, though rates vary from $1004.58 to $1583.58 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 37186, 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 37186 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 2 units of 37186 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 37186
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 4.8 | 4.8 |
| Practice Expense RVU | 28.79 | 0.66 |
| Malpractice RVU | 1.06 | 1.06 |
| Total RVU | 34.65 | 6.52 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 37186
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 | $1323.12 | $211.36 | $1235.95 - $1583.58 | 29 |
| Florida | $1194.06 | $251.36 | $1132.84 - $1250.9 | 3 |
| Georgia | $1120.3 | $223.95 | $1060.28 - $1180.32 | 2 |
| Illinois | $1157.7 | $249.84 | $1093.61 - $1211.76 | 4 |
| Michigan | $1113.11 | $230.86 | $1078.25 - $1147.97 | 2 |
| North Carolina | $1080.13 | $203.52 | $1080.13 - $1080.13 | 1 |
| New York | $1288.83 | $240.65 | $1098.75 - $1379.69 | 5 |
| Ohio | $1073.96 | $216.14 | $1073.96 - $1073.96 | 1 |
| Pennsylvania | $1141.51 | $221.21 | $1076.54 - $1206.49 | 2 |
| Texas | $1140.8 | $215.8 | $1068.28 - $1209.4 | 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 37186
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 37186 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01924 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01925 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01926 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 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 |
| 0905T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 37186
What does CPT code 37186 mean? +
CPT code 37186 represents: Sec art thrombectomy add-on. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 37186? +
The 2026 Medicare national average non-facility payment for CPT 37186 is $1197.47. Rates range from $1004.58 to $1583.58 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 37186? +
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 37186? +
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 June 1, 2026.
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