CPT 37262
Global ZZZ ActiveIv lithotrp ivt w/in sm art
CPT 37262 Billing & Documentation Guide
CPT code 37262 (Iv lithotrp ivt w/in sm 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, a non-facility practice expense RVU of 98.47, and a malpractice RVU of 0.6, a total non-facility RVU of 102.07 and facility RVU of 4.07. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $3551.9, though rates vary from $2935.76 to $4864.69 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 37262, 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)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 2 units of 37262 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 37262
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 3 | 3 |
| Practice Expense RVU | 98.47 | 0.47 |
| Malpractice RVU | 0.6 | 0.6 |
| Total RVU | 102.07 | 4.07 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 37262
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 | $4006.44 | $133.24 | $3717.38 - $4864.69 | 29 |
| Florida | $3439.16 | $154.97 | $3274.59 - $3574.72 | 3 |
| Georgia | $3262.02 | $139.31 | $3057.87 - $3466.18 | 2 |
| Illinois | $3316.84 | $154.02 | $3134.37 - $3514.21 | 4 |
| Michigan | $3216.77 | $143.15 | $3125.67 - $3307.86 | 2 |
| North Carolina | $3181.63 | $127.66 | $3181.63 - $3181.63 | 1 |
| New York | $3801.39 | $149.71 | $3238.83 - $4054.44 | 5 |
| Ohio | $3123.25 | $134.74 | $3123.25 - $3123.25 | 1 |
| Pennsylvania | $3344.09 | $137.91 | $3138.43 - $3549.75 | 2 |
| Texas | $3357.38 | $134.83 | $3111.8 - $3597.91 | 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 37262
What does CPT code 37262 mean? +
CPT code 37262 represents: Iv lithotrp ivt w/in sm art. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 37262? +
The 2026 Medicare national average non-facility payment for CPT 37262 is $3551.9. Rates range from $2935.76 to $4864.69 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 37262? +
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 37262? +
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 2, 2026.
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