CPT 37212
Global 000 ActiveThrombolytic venous therapy
CPT 37212 Billing & Documentation Guide
CPT code 37212 (Thrombolytic venous 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 6.64, a non-facility practice expense RVU of 0.97, and a malpractice RVU of 1.21, a total non-facility RVU of 8.82 and facility RVU of 8.82. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $294.72, though rates vary from $265.27 to $389.45 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 37212, 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 37212 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 37212 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 37212
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 6.64 | 6.64 |
| Practice Expense RVU | 0.97 | 0.97 |
| Malpractice RVU | 1.21 | 1.21 |
| Total RVU | 8.82 | 8.82 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 37212
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 | $289.98 | $289.98 | $282.72 - $314.56 | 29 |
| Florida | $332.96 | $332.96 | $313.5 - $357.72 | 3 |
| Georgia | $301.38 | $301.38 | $298.86 - $303.9 | 2 |
| Illinois | $331.1 | $331.1 | $314.53 - $348.65 | 4 |
| Michigan | $309.09 | $309.09 | $296.99 - $321.19 | 2 |
| North Carolina | $277.84 | $277.84 | $277.84 - $277.84 | 1 |
| New York | $323.39 | $323.39 | $280.97 - $349.55 | 5 |
| Ohio | $292.1 | $292.1 | $292.1 - $292.1 | 1 |
| Pennsylvania | $298.72 | $298.72 | $289.72 - $307.72 | 2 |
| Texas | $292.44 | $292.44 | $287.19 - $311.34 | 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 37212
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 37212 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 37212
What does CPT code 37212 mean? +
CPT code 37212 represents: Thrombolytic venous therapy. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 000.
What is the Medicare reimbursement for CPT 37212? +
The 2026 Medicare national average non-facility payment for CPT 37212 is $294.72. Rates range from $265.27 to $389.45 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 37212? +
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 37212? +
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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