CPT 37273
Global 000 ActiveRevsc evsc fpvt athrc cplx 1
CPT 37273 Billing & Documentation Guide
CPT code 37273 (Revsc evsc fpvt athrc cplx 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 12.63, a non-facility practice expense RVU of 380.61, and a malpractice RVU of 2.81, a total non-facility RVU of 396.05 and facility RVU of 17.25. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $13778.22, though rates vary from $11390.41 to $18850.3 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 37273, 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 37273 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 37273
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 12.63 | 12.63 |
| Practice Expense RVU | 380.61 | 1.81 |
| Malpractice RVU | 2.81 | 2.81 |
| Total RVU | 396.05 | 17.25 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 37273
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 | $15530.52 | $559.41 | $14412.47 - $18850.3 | 29 |
| Florida | $13359.65 | $665.22 | $12716.28 - $13893.15 | 3 |
| Georgia | $12662.72 | $592.46 | $11873.47 - $13451.96 | 2 |
| Illinois | $12886.35 | $661.11 | $12175.26 - $13647.08 | 4 |
| Michigan | $12491.2 | $610.73 | $12134.53 - $12847.87 | 2 |
| North Carolina | $12342.79 | $538.23 | $12342.79 - $12342.79 | 1 |
| New York | $14751.76 | $636.9 | $12564.92 - $15738.56 | 5 |
| Ohio | $12123.17 | $571.66 | $12123.17 - $12123.17 | 1 |
| Pennsylvania | $12978.09 | $585.2 | $12180.82 - $13775.36 | 2 |
| Texas | $13027.02 | $570.87 | $12077.62 - $13955.91 | 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 37273
What does CPT code 37273 mean? +
CPT code 37273 represents: Revsc evsc fpvt athrc cplx 1. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 000.
What is the Medicare reimbursement for CPT 37273? +
The 2026 Medicare national average non-facility payment for CPT 37273 is $13778.22. Rates range from $11390.41 to $18850.3 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 37273? +
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 37273? +
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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