CPT 37735
Global 090 ActiveLig&div&compl strpg saph vn
CPT 37735 Billing & Documentation Guide
CPT code 37735 (Lig&div&compl strpg saph vn) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 10.63, a non-facility practice expense RVU of 2.67, and a malpractice RVU of 2.71, a total non-facility RVU of 16.01 and facility RVU of 16.01. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $532.86, though rates vary from $468.37 to $677.43 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 37735, 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 NCCI edits before bundling 37735 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 37735 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 37735
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 10.63 | 10.63 |
| Practice Expense RVU | 2.67 | 2.67 |
| Malpractice RVU | 2.71 | 2.71 |
| Total RVU | 16.01 | 16.01 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 37735
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 | $522.39 | $522.39 | $507.35 - $571.22 | 29 |
| Florida | $620.73 | $620.73 | $576.35 - $676.8 | 3 |
| Georgia | $548.96 | $548.96 | $542.5 - $555.43 | 2 |
| Illinois | $615.44 | $615.44 | $577.95 - $654.9 | 4 |
| Michigan | $566.19 | $566.19 | $538.67 - $593.72 | 2 |
| North Carolina | $496.1 | $496.1 | $496.1 - $496.1 | 1 |
| New York | $594.44 | $594.44 | $503.41 - $651.9 | 5 |
| Ohio | $527.71 | $527.71 | $527.71 - $527.71 | 1 |
| Pennsylvania | $542.37 | $542.37 | $522.46 - $562.27 | 2 |
| Texas | $528.88 | $528.88 | $516.87 - $571 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 37735
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 37735 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 37735
What does CPT code 37735 mean? +
CPT code 37735 represents: Lig&div&compl strpg saph vn. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 090.
What is the Medicare reimbursement for CPT 37735? +
The 2026 Medicare national average non-facility payment for CPT 37735 is $532.86. Rates range from $468.37 to $677.43 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 37735? +
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 37735? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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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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