CPT 37254
Global 000 ActiveRevsc evasc ivt angio sf 1st
CPT 37254 Billing & Documentation Guide
CPT code 37254 (Revsc evasc ivt angio sf 1st) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 7.3, a non-facility practice expense RVU of 53.04, and a malpractice RVU of 1.71, a total non-facility RVU of 62.05 and facility RVU of 10.05. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $2146.58, though rates vary from $1795.03 to $2855.89 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 37254, 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 current NCCI edits before bundling with related codes.
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 37254 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 37254
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 7.3 | 7.3 |
| Practice Expense RVU | 53.04 | 1.04 |
| Malpractice RVU | 1.71 | 1.71 |
| Total RVU | 62.05 | 10.05 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 37254
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 | $2379.81 | $324.64 | $2220.24 - $2855.89 | 29 |
| Florida | $2132.5 | $389.86 | $2023.31 - $2232.49 | 3 |
| Georgia | $2002.62 | $345.67 | $1892.16 - $2113.08 | 2 |
| Illinois | $2065.62 | $387.39 | $1950.55 - $2166.16 | 4 |
| Michigan | $1987.74 | $356.83 | $1925.77 - $2049.7 | 2 |
| North Carolina | $1933.21 | $312.73 | $1933.21 - $1933.21 | 1 |
| New York | $2309.42 | $371.79 | $1966.98 - $2471.91 | 5 |
| Ohio | $1918.85 | $333.11 | $1918.85 - $1918.85 | 1 |
| Pennsylvania | $2042.34 | $341.11 | $1924.11 - $2160.57 | 2 |
| Texas | $2042.34 | $332.42 | $1909.03 - $2169.25 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
Frequently Asked Questions, CPT 37254
What does CPT code 37254 mean? +
CPT code 37254 represents: Revsc evasc ivt angio sf 1st. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 000.
What is the Medicare reimbursement for CPT 37254? +
The 2026 Medicare national average non-facility payment for CPT 37254 is $2146.58. Rates range from $1795.03 to $2855.89 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 37254? +
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 37254? +
No NCCI PTP edits currently on file for this code.
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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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