CPT 37276
Global ZZZ ActiveRvsc evsc fpvt st athr sf ea
CPT 37276 Billing & Documentation Guide
CPT code 37276 (Rvsc evsc fpvt st athr 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 4.25, a non-facility practice expense RVU of 98.32, and a malpractice RVU of 0.98, a total non-facility RVU of 103.55 and facility RVU of 5.77. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $3600.14, though rates vary from $2979.75 to $4910.61 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 37276, 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 37276 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 37276
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 4.25 | 4.25 |
| Practice Expense RVU | 98.32 | 0.54 |
| Malpractice RVU | 0.98 | 0.98 |
| Total RVU | 103.55 | 5.77 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 37276
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 | $4050.64 | $186.13 | $3761.15 - $4910.61 | 29 |
| Florida | $3500.59 | $223.77 | $3330.63 - $3643.35 | 3 |
| Georgia | $3314.25 | $198.54 | $3110.28 - $3518.21 | 2 |
| Illinois | $3378.15 | $222.43 | $3191.39 - $3573.59 | 4 |
| Michigan | $3271.68 | $204.97 | $3177.18 - $3366.18 | 2 |
| North Carolina | $3226.82 | $179.7 | $3226.82 - $3226.82 | 1 |
| New York | $3856.79 | $213.31 | $3284.74 - $4116.47 | 5 |
| Ohio | $3173.22 | $191.42 | $3173.22 - $3173.22 | 1 |
| Pennsylvania | $3394.88 | $195.89 | $3187.58 - $3602.18 | 2 |
| Texas | $3406.21 | $190.9 | $3160.78 - $3645.69 | 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 37276
What does CPT code 37276 mean? +
CPT code 37276 represents: Rvsc evsc fpvt st athr sf ea. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 37276? +
The 2026 Medicare national average non-facility payment for CPT 37276 is $3600.14. Rates range from $2979.75 to $4910.61 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 37276? +
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 37276? +
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 2, 2026.
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