CPT 37266
Global ZZZ ActiveRvsc evsc fpvt angio cplx ea
CPT 37266 Billing & Documentation Guide
CPT code 37266 (Rvsc evsc fpvt angio cplx 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 4, a non-facility practice expense RVU of 68.15, and a malpractice RVU of 0.93, a total non-facility RVU of 73.08 and facility RVU of 5.43. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $2538.51, though rates vary from $2104.92 to $3447.33 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 37266, 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 37266 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 37266
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 4 | 4 |
| Practice Expense RVU | 68.15 | 0.5 |
| Malpractice RVU | 0.93 | 0.93 |
| Total RVU | 73.08 | 5.43 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 37266
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 | $2848.7 | $175 | $2647.32 - $3447.33 | 29 |
| Florida | $2477.93 | $210.83 | $2356.41 - $2581.76 | 3 |
| Georgia | $2342.53 | $186.91 | $2201.06 - $2484 | 2 |
| Illinois | $2392.88 | $209.57 | $2260.39 - $2527.31 | 4 |
| Michigan | $2314.75 | $193.01 | $2246.91 - $2382.58 | 2 |
| North Carolina | $2277.21 | $169.03 | $2277.21 - $2277.21 | 1 |
| New York | $2721.58 | $200.8 | $2317.9 - $2906.32 | 5 |
| Ohio | $2243.15 | $180.16 | $2243.15 - $2243.15 | 1 |
| Pennsylvania | $2397.62 | $184.37 | $2252.58 - $2542.66 | 2 |
| Texas | $2404.18 | $179.63 | $2233.87 - $2569.69 | 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 37266
What does CPT code 37266 mean? +
CPT code 37266 represents: Rvsc evsc fpvt angio cplx ea. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 37266? +
The 2026 Medicare national average non-facility payment for CPT 37266 is $2538.51. Rates range from $2104.92 to $3447.33 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 37266? +
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 37266? +
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 May 31, 2026.
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