CPT 37264
Global ZZZ ActiveRevsc evasc fpvt angio sf ea
CPT 37264 Billing & Documentation Guide
CPT code 37264 (Revsc evasc fpvt angio sf ea) 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 61.67, and a malpractice RVU of 0.7, a total non-facility RVU of 65.37 and facility RVU of 4.08. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $2271.97, though rates vary from $1881.64 to $3094.04 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 37264, 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 1 units of 37264 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 37264
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 3 | 3 |
| Practice Expense RVU | 61.67 | 0.38 |
| Malpractice RVU | 0.7 | 0.7 |
| Total RVU | 65.37 | 4.08 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 37264
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 | $2553.83 | $131.49 | $2372.02 - $3094.04 | 29 |
| Florida | $2212.42 | $158.45 | $2104.54 - $2303.62 | 3 |
| Georgia | $2093.4 | $140.44 | $1965.44 - $2221.37 | 2 |
| Illinois | $2135.55 | $157.5 | $2017.37 - $2257.78 | 4 |
| Michigan | $2067.3 | $145.03 | $2007.23 - $2127.36 | 2 |
| North Carolina | $2036.97 | $126.98 | $2036.97 - $2036.97 | 1 |
| New York | $2434.69 | $150.9 | $2073.48 - $2599.18 | 5 |
| Ohio | $2004.4 | $135.36 | $2004.4 - $2004.4 | 1 |
| Pennsylvania | $2143.71 | $138.53 | $2013.22 - $2274.19 | 2 |
| Texas | $2150.38 | $134.97 | $1996.37 - $2300.42 | 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 37264
What does CPT code 37264 mean? +
CPT code 37264 represents: Revsc evasc fpvt angio sf ea. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 37264? +
The 2026 Medicare national average non-facility payment for CPT 37264 is $2271.97. Rates range from $1881.64 to $3094.04 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 37264? +
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 37264? +
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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