CPT 37214
Global 000 ActiveCessj therapy cath removal
CPT 37214 Billing & Documentation Guide
CPT code 37214 (Cessj therapy cath removal) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.43, a non-facility practice expense RVU of 0.31, and a malpractice RVU of 0.47, a total non-facility RVU of 3.21 and facility RVU of 3.21. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $107.07, though rates vary from $95.92 to $141.42 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 37214, 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 37214 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 37214 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 37214
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.43 | 2.43 |
| Practice Expense RVU | 0.31 | 0.31 |
| Malpractice RVU | 0.47 | 0.47 |
| Total RVU | 3.21 | 3.21 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 37214
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 | $104.84 | $104.84 | $102.31 - $113.44 | 29 |
| Florida | $122.11 | $122.11 | $114.66 - $131.64 | 3 |
| Georgia | $109.95 | $109.95 | $109.11 - $110.78 | 2 |
| Illinois | $121.45 | $121.45 | $115.15 - $128.17 | 4 |
| Michigan | $112.98 | $112.98 | $108.34 - $117.62 | 2 |
| North Carolina | $100.86 | $100.86 | $100.86 - $100.86 | 1 |
| New York | $117.91 | $117.91 | $102.04 - $127.82 | 5 |
| Ohio | $106.44 | $106.44 | $106.44 - $106.44 | 1 |
| Pennsylvania | $108.82 | $108.82 | $105.5 - $112.13 | 2 |
| Texas | $106.39 | $106.39 | $104.32 - $113.7 | 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 37214
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 37214 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 37214
What does CPT code 37214 mean? +
CPT code 37214 represents: Cessj therapy cath removal. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 000.
What is the Medicare reimbursement for CPT 37214? +
The 2026 Medicare national average non-facility payment for CPT 37214 is $107.07. Rates range from $95.92 to $141.42 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 37214? +
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 37214? +
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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