CPT 37252
Global ZZZ ActiveIntrvasc us noncoronary 1st
CPT 37252 Billing & Documentation Guide
CPT code 37252 (Intrvasc us noncoronary 1st) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.76, a non-facility practice expense RVU of 24.68, and a malpractice RVU of 0.37, a total non-facility RVU of 26.81 and facility RVU of 2.37. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $930.87, though rates vary from $773.25 to $1260.57 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 37252, 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 37252 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 1 units of 37252 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 37252
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.76 | 1.76 |
| Practice Expense RVU | 24.68 | 0.24 |
| Malpractice RVU | 0.37 | 0.37 |
| Total RVU | 26.81 | 2.37 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 37252
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 | $1043.01 | $77.08 | $969.88 - $1260.57 | 29 |
| Florida | $909.92 | $90.88 | $865.42 - $948.17 | 3 |
| Georgia | $860.08 | $81.31 | $808.82 - $911.33 | 2 |
| Illinois | $879.12 | $90.36 | $830.72 - $927.69 | 4 |
| Michigan | $850.23 | $83.71 | $825.36 - $875.1 | 2 |
| North Carolina | $835.79 | $74.16 | $835.79 - $835.79 | 1 |
| New York | $998 | $87.32 | $850.59 - $1065.63 | 5 |
| Ohio | $823.86 | $78.56 | $823.86 - $823.86 | 1 |
| Pennsylvania | $879.96 | $80.38 | $827.2 - $932.72 | 2 |
| Texas | $882.14 | $78.48 | $820.41 - $942 | 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 37252
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 37252 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 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 |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 37252
What does CPT code 37252 mean? +
CPT code 37252 represents: Intrvasc us noncoronary 1st. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 37252? +
The 2026 Medicare national average non-facility payment for CPT 37252 is $930.87. Rates range from $773.25 to $1260.57 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 37252? +
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 37252? +
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 2, 2026.
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