Billing code 37192: Filter repositioningMedicare rate & RVUs
Reports catheter-based repositioning of an existing vena cava filter when its position needs correction, with imaging guidance and interpretation included.
Medicare pays $1,196.42 for 37192 nationally in the office and $311.30 in a hospital or facility. Local office rates run $1,040.09–$1,595.24.
Medicare rate · 37192
Filter repositioning
Swap in your local Medicare rate.
- Work RVUs
- 6.92
- Total RVUs
- 35.82
- Global days
- 000
National rate · 2026
$1,196.42
Office setting, before claim adjustments.
See every locality for 37192 → · Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 10 sections
What 37192 covers
An interventional radiologist or vascular surgeon uses an endovascular approach to adjust the position of an already placed vena cava filter. A typical situation is a filter found to be malpositioned and requiring catheter-based correction. Imaging guidance and radiological supervision and interpretation are part of the service. This is not the code for initially placing a filter or retrieving one.
The operative report should identify the existing filter, explain why it required repositioning, and document the endovascular adjustment and resulting position. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for this anatomy. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 37192 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$1040.09 to $1595.24
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $1,057.59 | $283.11 |
| Alaska* | $1,344.52 | $401.86 |
| Arizona | $1,159.85 | $302.17 |
| Arkansas | $1,040.09 | $279.77 |
| Atlanta | $1,223.43 | $324.15 |
| Austin | $1,242.76 | $306.30 |
| Bakersfield | $1,264.85 | $294.75 |
| Baltimore/Surr. Cntys | $1,280.23 | $330.49 |
| Beaumont | $1,110.66 | $305.20 |
| Brazoria | $1,177.18 | $300.02 |
| Chicago | $1,278.70 | $389.15 |
| Chico | $1,260.10 | $290.00 |
| Colorado | $1,244.34 | $302.56 |
| Connecticut | $1,283.19 | $329.91 |
| Dallas | $1,186.53 | $304.94 |
| Dc + Md/Va Suburbs | $1,376.90 | $334.23 |
| Delaware | $1,180.76 | $306.26 |
| Detroit | $1,205.02 | $350.88 |
| East St. Louis | $1,183.51 | $369.19 |
| El Centro | $1,260.39 | $290.30 |
| Fort Lauderdale | $1,255.70 | $359.07 |
| Fort Worth | $1,178.23 | $305.49 |
| Fresno | $1,260.10 | $290.00 |
| Galveston | $1,181.81 | $302.88 |
| Hanford-Corcoran | $1,260.10 | $290.00 |
| Hawaii, Guam | $1,295.86 | $289.48 |
| Houston | $1,214.03 | $335.10 |
| Idaho | $1,092.92 | $278.61 |
| Indiana | $1,100.03 | $279.52 |
| Iowa | $1,083.92 | $274.03 |
| Kansas | $1,080.24 | $280.09 |
| Kentucky | $1,090.80 | $303.93 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $1,352.03 | $304.93 |
| Madera | $1,260.10 | $290.00 |
| Manhattan | $1,392.51 | $364.00 |
| Merced | $1,260.10 | $290.00 |
| Metropolitan Boston | $1,375.29 | $318.45 |
| Metropolitan Kansas City | $1,139.77 | $308.64 |
| Metropolitan Philadelphia | $1,249.09 | $327.68 |
| Metropolitan St. Louis | $1,153.03 | $310.39 |
| Miami | $1,323.47 | $402.06 |
| Minnesota | $1,181.32 | $270.53 |
| Mississippi | $1,055.07 | $292.98 |
| Modesto | $1,260.10 | $290.00 |
| Montana** | $1,196.30 | $311.18 |
| Napa | $1,470.33 | $303.73 |
| Nebraska | $1,090.06 | $273.09 |
| Nevada** | $1,187.51 | $301.50 |
| New Hampshire | $1,226.24 | $304.82 |
| New Mexico | $1,133.00 | $321.34 |
| New Orleans | $1,150.93 | $318.03 |
| North Carolina | $1,114.46 | $288.64 |
| North Dakota** | $1,161.50 | $276.38 |
| Northern Nj | $1,360.02 | $333.28 |
| Nyc Suburbs/Long Island | $1,432.92 | $380.51 |
| Ohio | $1,118.02 | $309.91 |
| Oklahoma | $1,086.32 | $295.90 |
| Oxnard-Thousand Oaks-Ventura | $1,345.71 | $299.50 |
| Portland | $1,285.69 | $302.32 |
| Poughkpsie/N Nyc Suburbs | $1,305.28 | $336.07 |
| Puerto Rico | $1,205.51 | $310.65 |
| Queens | $1,402.18 | $355.96 |
| Redding | $1,260.10 | $290.00 |
| Rest Of California | $1,260.10 | $290.00 |
| Rest Of Florida | $1,186.10 | $339.92 |
| Rest Of Georgia | $1,109.81 | $320.27 |
| Rest Of Illinois | $1,150.65 | $342.53 |
| Rest Of Louisiana | $1,089.70 | $306.37 |
| Rest Of Maine | $1,101.68 | $287.37 |
| Rest Of Maryland | $1,204.79 | $309.04 |
| Rest Of Massachusetts | $1,236.23 | $304.19 |
| Rest Of Michigan | $1,125.14 | $317.02 |
| Rest Of Missouri | $1,069.79 | $306.82 |
| Rest Of New Jersey | $1,294.77 | $328.21 |
| Rest Of New York | $1,133.64 | $292.77 |
| Rest Of Oregon | $1,175.33 | $293.75 |
| Rest Of Pennsylvania | $1,118.85 | $306.31 |
| Rest Of Texas | $1,144.49 | $304.50 |
| Rest Of Washington | $1,233.42 | $301.38 |
| Rhode Island | $1,224.38 | $310.04 |
| Riverside-San Bernardino-Ontario | $1,278.96 | $308.87 |
| Sacramento-Roseville-Folsom | $1,325.22 | $295.83 |
| Salinas | $1,320.44 | $294.58 |
| San Diego-Chula Vista-Carlsbad | $1,354.10 | $295.50 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $1,558.24 | $310.22 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $1,556.24 | $308.22 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $1,595.24 | $318.89 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $1,587.07 | $310.72 |
| San Luis Obispo-Paso Robles | $1,299.08 | $290.92 |
| Santa Cruz-Watsonville | $1,368.90 | $293.47 |
| Santa Maria-Santa Barbara | $1,326.09 | $294.04 |
| Santa Rosa-Petaluma | $1,382.76 | $295.83 |
| Seattle (King Cnty) | $1,402.99 | $316.95 |
| South Carolina | $1,118.71 | $300.85 |
| South Dakota** | $1,157.39 | $272.26 |
| Southern Maine | $1,166.57 | $289.41 |
| Stockton | $1,260.10 | $290.00 |
| Suburban Chicago | $1,267.90 | $358.87 |
| Tennessee | $1,086.71 | $282.13 |
| Utah | $1,136.03 | $304.02 |
| Vallejo | $1,467.45 | $300.85 |
| Vermont | $1,158.32 | $282.04 |
| Virgin Islands | $1,205.51 | $310.65 |
| Virginia | $1,163.73 | $293.65 |
| Visalia | $1,260.10 | $290.00 |
| West Virginia | $1,103.01 | $333.83 |
| Wisconsin | $1,117.67 | $269.72 |
| Wyoming** | $1,181.14 | $296.01 |
| Yuba City | $1,260.10 | $290.00 |
37192 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$1,040.09
$1,427.67
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $1,344.52 | 1 |
| AL | $1,057.59 | 1 |
| AR | $1,040.09 | 1 |
| AZ | $1,159.85 | 1 |
| CA | $1,260.10–$1,595.24 | 29 |
| CO | $1,244.34 | 1 |
| CT | $1,283.19 | 1 |
| DC | $1,376.90 | 1 |
| DE | $1,180.76 | 1 |
| FL | $1,186.10–$1,323.47 | 3 |
| GA | $1,109.81–$1,223.43 | 2 |
| GU | $1,295.86 | 1 |
| HI | $1,295.86 | 1 |
| IA | $1,083.92 | 1 |
| ID | $1,092.92 | 1 |
| IL | $1,150.65–$1,278.70 | 4 |
| IN | $1,100.03 | 1 |
| KS | $1,080.24 | 1 |
| KY | $1,090.80 | 1 |
| LA | $1,089.70–$1,150.93 | 2 |
| MA | $1,236.23–$1,375.29 | 2 |
| MD | $1,204.79–$1,376.90 | 3 |
| ME | $1,101.68–$1,166.57 | 2 |
| MI | $1,125.14–$1,205.02 | 2 |
| MN | $1,181.32 | 1 |
| MO | $1,069.79–$1,153.03 | 3 |
| MS | $1,055.07 | 1 |
| MT | $1,196.30 | 1 |
| NC | $1,114.46 | 1 |
| ND | $1,161.50 | 1 |
| NE | $1,090.06 | 1 |
| NH | $1,226.24 | 1 |
| NJ | $1,294.77–$1,360.02 | 2 |
| NM | $1,133.00 | 1 |
| NV | $1,187.51 | 1 |
| NY | $1,133.64–$1,432.92 | 5 |
| OH | $1,118.02 | 1 |
| OK | $1,086.32 | 1 |
| OR | $1,175.33–$1,285.69 | 2 |
| PA | $1,118.85–$1,249.09 | 2 |
| PR | $1,205.51 | 1 |
| RI | $1,224.38 | 1 |
| SC | $1,118.71 | 1 |
| SD | $1,157.39 | 1 |
| TN | $1,086.71 | 1 |
| TX | $1,110.66–$1,242.76 | 8 |
| UT | $1,136.03 | 1 |
| VA | $1,163.73–$1,376.90 | 2 |
| VI | $1,205.51 | 1 |
| VT | $1,158.32 | 1 |
| WA | $1,233.42–$1,402.99 | 2 |
| WI | $1,117.67 | 1 |
| WV | $1,103.01 | 1 |
| WY | $1,181.14 | 1 |
How the 37192 rate is calculated
Each of 37192’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 37192
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 6.92Practice expense 27.14Malpractice 1.76
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 37192
The CMS indicators that decide how 37192 is paid alongside other services.
CMS payment indicators · 37192
Filter repositioning
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
37192 without 51 · national office
$1,196.42
Filter repositioning
37192-51 · Second procedure: 50%
$598.21
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
37192 compared with similar codes
Compare codes
37192 vs 37191 vs 37193 vs 37187: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 37191Vena cava filter
- Use 37191 to place a vena cava filter initially. Use 37192 to adjust the position of a filter that is already in place.
- 37193Filter retrieval
- Use 37193 when the filter is retrieved. Use 37192 when the filter remains in place after endovascular repositioning.
- 37187Venous thrombectomy
- 37187 reports mechanical removal of venous thrombus. It does not describe repositioning a vena cava filter.
37192 billing questions
How is repositioning distinguished from filter insertion or retrieval?
Report 37192 when an existing vena cava filter is adjusted endovascularly. Use 37191 for initial placement and 37193 for filter retrieval.
Can imaging guidance be billed separately?
Imaging guidance and radiological supervision and interpretation are included in the repositioning service.
What documentation supports 37192?
Document the existing filter, the reason its position required correction, the endovascular adjustment performed, and the resulting position.
Should modifier 50 be reported?
No. Bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Can an assistant surgeon or co-surgeon be billed?
Medicare does not pay an assistant at surgery for 37192. Co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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