CPT 37271
Global 000 ActiveRevsc evsc fpvt athrc sf 1st
CPT 37271 Billing & Documentation Guide
CPT code 37271 (Revsc evsc fpvt athrc 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 9, a non-facility practice expense RVU of 305.24, and a malpractice RVU of 2, a total non-facility RVU of 316.24 and facility RVU of 12.32. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $11004.07, though rates vary from $9092.77 to $15071.09 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 37271, 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 37271 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 37271
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 9 | 9 |
| Practice Expense RVU | 305.24 | 1.32 |
| Malpractice RVU | 2 | 2 |
| Total RVU | 316.24 | 12.32 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 37271
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 | $12411.45 | $399.78 | $11515.56 - $15071.09 | 29 |
| Florida | $10659.93 | $474.89 | $10147.71 - $11082.85 | 3 |
| Georgia | $10107.3 | $423.04 | $9474.44 - $10740.15 | 2 |
| Illinois | $10280.52 | $471.92 | $9713.32 - $10891.65 | 4 |
| Michigan | $9968.01 | $436.03 | $9684.33 - $10251.69 | 2 |
| North Carolina | $9855.5 | $384.43 | $9855.5 - $9855.5 | 1 |
| New York | $11779.55 | $454.87 | $10033.1 - $12566.1 | 5 |
| Ohio | $9676.24 | $408.2 | $9676.24 - $9676.24 | 1 |
| Pennsylvania | $10361.01 | $417.91 | $9723.01 - $10999.01 | 2 |
| Texas | $10401.57 | $407.72 | $9640.38 - $11147.01 | 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 37271
What does CPT code 37271 mean? +
CPT code 37271 represents: Revsc evsc fpvt athrc sf 1st. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 000.
What is the Medicare reimbursement for CPT 37271? +
The 2026 Medicare national average non-facility payment for CPT 37271 is $11004.07. Rates range from $9092.77 to $15071.09 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 37271? +
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 37271? +
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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