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CPT code 372152026 Medicare rate & RVUs

CPT 37215 pays $889.47 in a facility nationally under the 2026 Medicare fee schedule, $776.09–$1,131.85 by locality. RVUs, rules and the benchmark commercial payers price against.

CMS RVU26DEffective Oct 1, 2026109 payment localities16.9K Medicare services in 2024

Medicare pays $889.47 for 37215 nationally in a facility.

Medicare rate · 37215

Code 37215

Office or facility?

Work RVUs
17.31
Total RVUs
26.63
Global days
090

National rate · 2026

$889.47

Facility setting, before claim adjustments.

See every locality for 37215 →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.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 6 sections
  1. Medicare rate
  2. By payment locality
  3. Rate map
  4. How it’s calculated
  5. Payment rules
  6. Sources

Where 37215 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

37215 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$802.87
AlaskaUnavailable$1,119.47
ArizonaUnavailable$862.38
ArkansasUnavailable$792.49
Atlanta, GAUnavailable$924.73
Austin, TXUnavailable$882.14
Bakersfield, CAUnavailable$855.19
Baltimore area, MDUnavailable$946.75
Beaumont, TXUnavailable$864.38
Brazoria, TXUnavailable$858.73

37215 rates by state

Office rate range in each state. Select a state to see its payment localities.

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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.

View every state and territory as a table
37215 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 37215 rate is calculated

Each of 37215’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 · 37215

RVUs × geographic indexes × conversion factor

Office or facility?

Work17.31

17.31 RVUs× 1.000 GPCI

Practice expense4.70

4.70 RVUs× 1.000 GPCI

Malpractice4.62

4.62 RVUs× 1.000 GPCI

Adjusted RVUs

26.6300

Conversion factor

$33.4009

Medicare rate

$889.47

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 37215

37215 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 37215

Code 37215

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 37215

Code 37215

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

37215 without 50 · national facility

$889.47

37215-50 · Bilateral: 150%

$1,334.21

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

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
RVUs for 37215PPRRVU2026_Oct_nonQPP.csv, line 4,595 (RVU26D)

Open CMS sourceHow we calculate rates

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