CPT 37211
Global 000 ActiveThrombolytic art therapy
CPT 37211 Billing & Documentation Guide
CPT code 37211 (Thrombolytic art therapy) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 7.56, a non-facility practice expense RVU of 1.07, and a malpractice RVU of 1.5, a total non-facility RVU of 10.13 and facility RVU of 10.13. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $337.85, though rates vary from $302.18 to $444.43 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 37211, 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 37211 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 37211 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 37211
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 7.56 | 7.56 |
| Practice Expense RVU | 1.07 | 1.07 |
| Malpractice RVU | 1.5 | 1.5 |
| Total RVU | 10.13 | 10.13 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 37211
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 | $331.02 | $331.02 | $322.83 - $358.68 | 29 |
| Florida | $385.9 | $385.9 | $361.98 - $416.42 | 3 |
| Georgia | $346.93 | $346.93 | $344.11 - $349.75 | 2 |
| Illinois | $383.67 | $383.67 | $363.45 - $405.18 | 4 |
| Michigan | $356.59 | $356.59 | $341.7 - $371.47 | 2 |
| North Carolina | $317.87 | $317.87 | $317.87 - $317.87 | 1 |
| New York | $372.47 | $372.47 | $321.68 - $404.2 | 5 |
| Ohio | $335.64 | $335.64 | $335.64 - $335.64 | 1 |
| Pennsylvania | $343.35 | $343.35 | $332.66 - $354.03 | 2 |
| Texas | $335.62 | $335.62 | $329.03 - $358.96 | 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 37211
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 37211 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0075T | Column 1 (primary), can be billed with modifier | Yes | More extensive procedure |
| 01916 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 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 |
| 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 |
Frequently Asked Questions, CPT 37211
What does CPT code 37211 mean? +
CPT code 37211 represents: Thrombolytic art therapy. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 000.
What is the Medicare reimbursement for CPT 37211? +
The 2026 Medicare national average non-facility payment for CPT 37211 is $337.85. Rates range from $302.18 to $444.43 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 37211? +
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 37211? +
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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