CPT 37247
Global ZZZ ActiveTrluml balo angiop addl art
CPT 37247 Billing & Documentation Guide
CPT code 37247 (Trluml balo angiop addl art) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 3.41, a non-facility practice expense RVU of 13.91, and a malpractice RVU of 0.62, a total non-facility RVU of 17.94 and facility RVU of 4.55. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $618.83, though rates vary from $523.66 to $807.49 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 37247, 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 37247 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 37247 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 37247
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 3.41 | 3.41 |
| Practice Expense RVU | 13.91 | 0.52 |
| Malpractice RVU | 0.62 | 0.62 |
| Total RVU | 17.94 | 4.55 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 37247
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 | $678.97 | $149.76 | $636.14 - $807.49 | 29 |
| Florida | $620.36 | $171.64 | $589.19 - $649.92 | 3 |
| Georgia | $582.08 | $155.42 | $553.01 - $611.15 | 2 |
| Illinois | $602.8 | $170.65 | $570.45 - $629.15 | 4 |
| Michigan | $579.31 | $159.35 | $561.46 - $597.16 | 2 |
| North Carolina | $560.61 | $143.33 | $560.61 - $560.61 | 1 |
| New York | $665.76 | $166.83 | $569.83 - $712.06 | 5 |
| Ohio | $558.96 | $150.63 | $558.96 - $558.96 | 1 |
| Pennsylvania | $592.15 | $154.07 | $559.98 - $624.31 | 2 |
| Texas | $591.17 | $150.86 | $555.93 - $624.03 | 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 37247
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 37247 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 | 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 | Misuse of Column Two code with Column One code |
| 0230T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0632T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 37247
What does CPT code 37247 mean? +
CPT code 37247 represents: Trluml balo angiop addl art. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 37247? +
The 2026 Medicare national average non-facility payment for CPT 37247 is $618.83. Rates range from $523.66 to $807.49 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 37247? +
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 37247? +
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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