CPT 37286
Global 000 ActiveRevsc evasc tpvt st cplx 1st
CPT 37286 Billing & Documentation Guide
CPT code 37286 (Revsc evasc tpvt st cplx 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 13.46, a non-facility practice expense RVU of 293.82, and a malpractice RVU of 3.07, a total non-facility RVU of 310.35 and facility RVU of 18.53. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $10788.59, though rates vary from $8932.48 to $14705.57 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 37286, 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 37286 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 37286
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 13.46 | 13.46 |
| Practice Expense RVU | 293.82 | 2 |
| Malpractice RVU | 3.07 | 3.07 |
| Total RVU | 310.35 | 18.53 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 37286
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 | $12133.79 | $600.34 | $11268.16 - $14705.57 | 29 |
| Florida | $10495.75 | $716.21 | $9985.74 - $10925.12 | 3 |
| Georgia | $9935.36 | $636.67 | $9325.76 - $10544.95 | 2 |
| Illinois | $10129.74 | $711.65 | $9569.89 - $10713.25 | 4 |
| Michigan | $9809.11 | $656.63 | $9525.39 - $10092.83 | 2 |
| North Carolina | $9671.42 | $577.43 | $9671.42 - $9671.42 | 1 |
| New York | $11558.64 | $684.82 | $9844.82 - $12337.44 | 5 |
| Ohio | $9512.98 | $613.93 | $9512.98 - $9512.98 | 1 |
| Pennsylvania | $10175.9 | $628.67 | $9555.59 - $10796.22 | 2 |
| Texas | $10209.03 | $613.06 | $9475.44 - $10924.38 | 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 37286
What does CPT code 37286 mean? +
CPT code 37286 represents: Revsc evasc tpvt st cplx 1st. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 000.
What is the Medicare reimbursement for CPT 37286? +
The 2026 Medicare national average non-facility payment for CPT 37286 is $10788.59. Rates range from $8932.48 to $14705.57 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 37286? +
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 37286? +
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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