CPT 37278
Global ZZZ ActiveRvsc evsc fpvt st ath cpx ea
CPT 37278 Billing & Documentation Guide
CPT code 37278 (Rvsc evsc fpvt st ath cpx 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 6, a non-facility practice expense RVU of 108.64, and a malpractice RVU of 1.35, a total non-facility RVU of 115.99 and facility RVU of 8.11. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $4030.1, though rates vary from $3340.66 to $5479.17 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 37278, 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 37278 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 37278
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 6 | 6 |
| Practice Expense RVU | 108.64 | 0.76 |
| Malpractice RVU | 1.35 | 1.35 |
| Total RVU | 115.99 | 8.11 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 37278
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 | $4525.76 | $262.08 | $4205.01 - $5479.17 | 29 |
| Florida | $3928.95 | $313.66 | $3737.19 - $4091.89 | 3 |
| Georgia | $3716.41 | $278.88 | $3490.93 - $3941.89 | 2 |
| Illinois | $3793.48 | $311.8 | $3583.86 - $4008.36 | 4 |
| Michigan | $3671.19 | $287.71 | $3564.29 - $3778.1 | 2 |
| North Carolina | $3614.77 | $252.9 | $3614.77 - $3614.77 | 1 |
| New York | $4319.36 | $299.53 | $3679.34 - $4611.46 | 5 |
| Ohio | $3558.84 | $269.03 | $3558.84 - $3558.84 | 1 |
| Pennsylvania | $3804.7 | $275.28 | $3574.14 - $4035.26 | 2 |
| Texas | $3815.82 | $268.38 | $3544.39 - $4079.89 | 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 37278
What does CPT code 37278 mean? +
CPT code 37278 represents: Rvsc evsc fpvt st ath cpx ea. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 37278? +
The 2026 Medicare national average non-facility payment for CPT 37278 is $4030.1. Rates range from $3340.66 to $5479.17 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 37278? +
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 37278? +
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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