CPT 37187
Global 000 ActiveVenous mech thrombectomy
CPT 37187 Billing & Documentation Guide
CPT code 37187 (Venous mech thrombectomy) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 7.59, a non-facility practice expense RVU of 39.01, and a malpractice RVU of 1.31, a total non-facility RVU of 47.91 and facility RVU of 10.35. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $1655.97, though rates vary from $1395.3 to $2183.73 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 37187, 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 37187 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 37187 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 37187
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 7.59 | 7.59 |
| Practice Expense RVU | 39.01 | 1.45 |
| Malpractice RVU | 1.31 | 1.31 |
| Total RVU | 47.91 | 10.35 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 37187
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 | $1828.1 | $343.63 | $1709.33 - $2183.73 | 29 |
| Florida | $1646 | $387.28 | $1564.92 - $1720.56 | 3 |
| Georgia | $1549.28 | $352.45 | $1467.92 - $1630.64 | 2 |
| Illinois | $1597.01 | $384.81 | $1511.51 - $1670.97 | 4 |
| Michigan | $1538.59 | $360.58 | $1492.52 - $1584.65 | 2 |
| North Carolina | $1497.14 | $326.66 | $1497.14 - $1497.14 | 1 |
| New York | $1778.61 | $379.05 | $1522.09 - $1900.22 | 5 |
| Ohio | $1487.23 | $341.84 | $1487.23 - $1487.23 | 1 |
| Pennsylvania | $1578.83 | $350.01 | $1490.99 - $1666.67 | 2 |
| Texas | $1578.32 | $343.23 | $1479.86 - $1671.33 | 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 37187
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 37187 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01930 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01931 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01932 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01933 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 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 |
Frequently Asked Questions, CPT 37187
What does CPT code 37187 mean? +
CPT code 37187 represents: Venous mech thrombectomy. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 000.
What is the Medicare reimbursement for CPT 37187? +
The 2026 Medicare national average non-facility payment for CPT 37187 is $1655.97. Rates range from $1395.3 to $2183.73 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 37187? +
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 37187? +
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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