CPT 37263
Global 000 ActiveRevsc evasc fpvt angio sf 1
CPT 37263 Billing & Documentation Guide
CPT code 37263 (Revsc evasc fpvt angio sf 1) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 7.75, a non-facility practice expense RVU of 152.98, and a malpractice RVU of 1.83, a total non-facility RVU of 162.56 and facility RVU of 10.66. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $5649.09, though rates vary from $4679.54 to $7688.24 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 37263, 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 37263 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 37263
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 7.75 | 7.75 |
| Practice Expense RVU | 152.98 | 1.08 |
| Malpractice RVU | 1.83 | 1.83 |
| Total RVU | 162.56 | 10.66 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 37263
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 | $6347.43 | $343.97 | $5896.22 - $7688.24 | 29 |
| Florida | $5504.54 | $414.04 | $5235.57 - $5732.6 | 3 |
| Georgia | $5207.01 | $366.79 | $4889.54 - $5524.47 | 2 |
| Illinois | $5313.79 | $411.43 | $5019.52 - $5616.61 | 4 |
| Michigan | $5142.87 | $378.76 | $4992.99 - $5292.74 | 2 |
| North Carolina | $5065.24 | $331.57 | $5065.24 - $5065.24 | 1 |
| New York | $6054.58 | $394.47 | $5156.01 - $6464.33 | 5 |
| Ohio | $4985.6 | $353.4 | $4985.6 - $4985.6 | 1 |
| Pennsylvania | $5331.45 | $361.86 | $5007.3 - $5655.6 | 2 |
| Texas | $5347.53 | $352.57 | $4965.44 - $5719.56 | 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 37263
What does CPT code 37263 mean? +
CPT code 37263 represents: Revsc evasc fpvt angio sf 1. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 000.
What is the Medicare reimbursement for CPT 37263? +
The 2026 Medicare national average non-facility payment for CPT 37263 is $5649.09. Rates range from $4679.54 to $7688.24 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 37263? +
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 37263? +
No NCCI PTP edits currently on file for this code.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team