$435.01–$604.09
Both describe stab phlebectomy of one leg; select 37765 for 10–20 incisions and 37766 for more than 20.
On this page
CMS RVU26D · Effective 2026-10-01
37765 Stab phlebectomy Medicare reimbursement rates
Reports removal of varicose tributary veins from one leg by stab phlebectomy when the procedure uses 10–20 incisions. Compare 37765 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 37765?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$365.29–$512.35
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $147.06 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 37765 pays more and less
109 payment localities
$365.29 to $512.35
Vascular surgery
About 37765: Stab phlebectomy of leg veins
Reports removal of varicose tributary veins from one leg by stab phlebectomy when the procedure uses 10–20 incisions.
A surgeon removes superficial varicose tributary veins through small skin incisions, commonly using a hook to deliver and extract the vein segments. Vascular surgeons and other surgeons who treat venous disease perform the procedure for symptomatic or otherwise clinically treated varicosities, often in an office procedure room or outpatient operating setting. The code covers one leg when 10–20 incisions are used; the incision count, rather than the number of vein segments removed, distinguishes it from the higher-count sibling.
Document the treated leg, the varicose tributaries addressed, and the number of incisions. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. For bilateral treatment, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 37765
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.68 · 38%
- Practice expense (office) RVU6.63 · 53%
- Malpractice RVU1.09 · 9%
10.3K
Medicare services in 2024 · #1454 by national volume
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.
37765 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
37722 addresses ligation and stripping of the long saphenous vein. Use 37765 for removal of superficial varicose tributaries through stab incisions.
$297.36–$415.90
37785 describes ligation, division, or excision of varicose veins; 37765 is specific to stab phlebectomy with 10–20 incisions on one leg.
See how rates vary across the country
37765 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$365.29
$490.38
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $490.38 | 1 |
| AL | $370.69 | 1 |
| AR | $365.29 | 1 |
| AZ | $402.06 | 1 |
| CA | $421.19–$512.35 | 29 |
| CO | $422.25 | 1 |
| CT | $441.99 | 1 |
| DC | $466.14 | 1 |
| DE | $408.62 | 1 |
| FL | $422.74–$478.92 | 3 |
| GA | $397.24–$425.50 | 2 |
| GU | $429.18 | 1 |
| HI | $429.18 | 1 |
| IA | $373.39 | 1 |
| ID | $377.27 | 1 |
| IL | $415.40–$463.52 | 4 |
| IN | $379.29 | 1 |
| KS | $374.85 | 1 |
| KY | $386.50 | 1 |
| LA | $387.18–$406.06 | 2 |
| MA | $421.02–$459.54 | 2 |
| MD | $415.41–$466.14 | 3 |
| ME | $382.69–$398.74 | 2 |
| MI | $399.60–$431.40 | 2 |
| MN | $394.96 | 1 |
| MO | $382.66–$403.61 | 3 |
| MS | $373.89 | 1 |
| MT | $414.10 | 1 |
| NC | $386.19 | 1 |
| ND | $392.55 | 1 |
| NE | $374.47 | 1 |
| NH | $418.70 | 1 |
| NJ | $444.33–$461.93 | 2 |
| NM | $403.11 | 1 |
| NV | $408.31 | 1 |
| NY | $392.29–$497.23 | 5 |
| OH | $395.20 | 1 |
| OK | $382.36 | 1 |
| OR | $402.47–$431.93 | 2 |
| PA | $394.01–$433.09 | 2 |
| PR | $416.06 | 1 |
| RI | $420.52 | 1 |
| SC | $391.88 | 1 |
| SD | $390.00 | 1 |
| TN | $377.16 | 1 |
| TX | $391.66–$427.56 | 8 |
| UT | $397.17 | 1 |
| VA | $399.70–$466.14 | 2 |
| VI | $416.06 | 1 |
| VT | $393.97 | 1 |
| WA | $419.24–$465.59 | 2 |
| WI | $379.68 | 1 |
| WV | $400.85 | 1 |
| WY | $404.71 | 1 |
Compare 37765 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $370.69 | Facility $223.10 |
| Alaska* | Office $490.38 | Facility $310.74 |
| Arizona | Office $402.06 | Facility $238.62 |
| Arkansas | Office $365.29 | Facility $220.40 |
| Atlanta | Office $425.50 | Facility $254.13 |
| Austin | Office $423.18 | Facility $244.72 |
| Bakersfield | Office $424.17 | Facility $239.30 |
| Baltimore/Surr. Cntys | Office $441.47 | Facility $260.48 |
| Beaumont | Office $391.66 | Facility $238.16 |
| Brazoria | Office $405.42 | Facility $238.26 |
| Chicago | Office $463.52 | Facility $294.00 |
| Chico | Office $421.19 | Facility $236.33 |
| Colorado | Office $422.25 | Facility $242.78 |
| Connecticut | Office $441.99 | Facility $260.33 |
| Dallas | Office $409.52 | Facility $241.52 |
| Dc + Md/Va Suburbs | Office $466.14 | Facility $267.45 |
| Delaware | Office $408.62 | Facility $241.97 |
| Detroit | Office $431.40 | Facility $268.62 |
| East St. Louis | Office $433.37 | Facility $278.19 |
| El Centro | Office $421.38 | Facility $236.51 |
| Fort Lauderdale | Office $446.47 | Facility $275.60 |
| Fort Worth | Office $407.78 | Facility $241.47 |
| Fresno | Office $421.19 | Facility $236.33 |
| Galveston | Office $407.61 | Facility $240.12 |
| Hanford-Corcoran | Office $421.19 | Facility $236.33 |
| Hawaii, Guam | Office $429.18 | Facility $237.40 |
| Houston | Office $427.56 | Facility $260.07 |
| Idaho | Office $377.27 | Facility $222.09 |
| Indiana | Office $379.29 | Facility $222.93 |
| Iowa | Office $373.39 | Facility $219.06 |
| Kansas | Office $374.85 | Facility $222.37 |
| Kentucky | Office $386.50 | Facility $236.54 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $448.87 | Facility $249.33 |
| Madera | Office $421.19 | Facility $236.33 |
| Manhattan | Office $481.38 | Facility $285.38 |
| Merced | Office $421.19 | Facility $236.33 |
| Metropolitan Boston | Office $459.54 | Facility $258.14 |
| Metropolitan Kansas City | Office $399.83 | Facility $241.44 |
| Metropolitan Philadelphia | Office $433.09 | Facility $257.50 |
| Metropolitan St. Louis | Office $403.61 | Facility $243.04 |
| Miami | Office $478.92 | Facility $303.33 |
| Minnesota | Office $394.96 | Facility $221.40 |
| Mississippi | Office $373.89 | Facility $228.66 |
| Modesto | Office $421.19 | Facility $236.33 |
| Montana** | Office $414.10 | Facility $245.42 |
| Napa | Office $476.53 | Facility $254.21 |
| Nebraska | Office $374.47 | Facility $218.79 |
| Nevada** | Office $408.31 | Facility $239.47 |
| New Hampshire | Office $418.70 | Facility $243.11 |
| New Mexico | Office $403.11 | Facility $248.43 |
| New Orleans | Office $406.06 | Facility $247.33 |
| North Carolina | Office $386.19 | Facility $228.82 |
| North Dakota** | Office $392.55 | Facility $223.87 |
| Northern Nj | Office $461.93 | Facility $266.26 |
| Nyc Suburbs/Long Island | Office $497.23 | Facility $296.68 |
| Ohio | Office $395.20 | Facility $241.20 |
| Oklahoma | Office $382.36 | Facility $231.73 |
| Oxnard-Thousand Oaks-Ventura | Office $445.13 | Facility $245.75 |
| Portland | Office $431.93 | Facility $244.54 |
| Poughkpsie/N Nyc Suburbs | Office $449.89 | Facility $265.19 |
| Puerto Rico | Office $416.06 | Facility $245.53 |
| Queens | Office $480.57 | Facility $281.20 |
| Redding | Office $421.19 | Facility $236.33 |
| Rest Of California | Office $421.19 | Facility $236.33 |
| Rest Of Florida | Office $422.74 | Facility $261.49 |
| Rest Of Georgia | Office $397.24 | Facility $246.79 |
| Rest Of Illinois | Office $415.40 | Facility $261.40 |
| Rest Of Louisiana | Office $387.18 | Facility $237.90 |
| Rest Of Maine | Office $382.69 | Facility $227.51 |
| Rest Of Maryland | Office $415.41 | Facility $244.71 |
| Rest Of Massachusetts | Office $421.02 | Facility $243.40 |
| Rest Of Michigan | Office $399.60 | Facility $245.60 |
| Rest Of Missouri | Office $382.66 | Facility $237.27 |
| Rest Of New Jersey | Office $444.33 | Facility $260.14 |
| Rest Of New York | Office $392.29 | Facility $232.05 |
| Rest Of Oregon | Office $402.47 | Facility $234.47 |
| Rest Of Pennsylvania | Office $394.01 | Facility $239.17 |
| Rest Of Texas | Office $399.35 | Facility $239.27 |
| Rest Of Washington | Office $419.24 | Facility $241.62 |
| Rhode Island | Office $420.52 | Facility $246.28 |
| Riverside-San Bernardino-Ontario | Office $432.89 | Facility $248.02 |
| Sacramento-Roseville-Folsom | Office $439.00 | Facility $242.83 |
| Salinas | Office $437.33 | Facility $241.84 |
| San Diego-Chula Vista-Carlsbad | Office $445.59 | Facility $243.86 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $500.12 | Facility $262.29 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $498.88 | Facility $261.05 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $512.35 | Facility $269.12 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $507.29 | Facility $264.06 |
| San Luis Obispo-Paso Robles | Office $430.72 | Facility $238.60 |
| Santa Cruz-Watsonville | Office $448.17 | Facility $243.23 |
| Santa Maria-Santa Barbara | Office $438.42 | Facility $241.74 |
| Santa Rosa-Petaluma | Office $452.46 | Facility $245.33 |
| Seattle (King Cnty) | Office $465.59 | Facility $258.63 |
| South Carolina | Office $391.88 | Facility $236.02 |
| South Dakota** | Office $390.00 | Facility $221.32 |
| Southern Maine | Office $398.74 | Facility $231.59 |
| Stockton | Office $421.19 | Facility $236.33 |
| Suburban Chicago | Office $449.35 | Facility $276.12 |
| Tennessee | Office $377.16 | Facility $223.84 |
| Utah | Office $397.17 | Facility $238.62 |
| Vallejo | Office $474.74 | Facility $252.43 |
| Vermont | Office $393.97 | Facility $226.98 |
| Virgin Islands | Office $416.06 | Facility $245.53 |
| Virginia | Office $399.70 | Facility $233.90 |
| Visalia | Office $421.19 | Facility $236.33 |
| West Virginia | Office $400.85 | Facility $254.27 |
| Wisconsin | Office $379.68 | Facility $218.09 |
| Wyoming** | Office $404.71 | Facility $236.03 |
| Yuba City | Office $421.19 | Facility $236.33 |
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37765 billing questions
How do I choose between 37765 and 37766?
Use 37765 for 10–20 incisions on one leg and 37766 when more than 20 incisions are used. Count incisions, not the number of vein segments removed.
Can I report this code for both legs?
The code describes treatment of one leg. For bilateral treatment, report modifier 50; CMS pays the bilateral procedure at 150%.
Are postoperative visits separately payable?
Related postoperative visits during the 10-day global period are included in the procedure.
How does the multiple-procedure reduction affect another same-session procedure?
When procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.
Can an assistant or co-surgeon be reported?
An assistant at surgery is not paid under the statutory restriction. Co-surgeons are paid only with supporting documentation; team surgery is 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,6923775F,,Adenoma detected screening,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,69337760,,Lig prfratr vn radical 1 leg,A,,10.51,2.66,NA,2.66,,2.68,15.85,15.85,0,090,0.09,0.84,0.07,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,69437761,,Ligate leg veins open,A,,8.90,3.48,NA,3.48,,2.22,14.60,14.60,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,69537765,,Stab phleb veins xtr 10-20,A,,4.68,6.63,,1.58,,1.09,12.40,7.35,0,010,0.10,0.80,0.10,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,69637766,,Phleb veins - extrem 20+,A,,5.85,7.53,,1.81,,1.37,14.75,9.03,0,010,0.10,0.80,0.10,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,6973776F,,Adenoma not detect screening,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,69837780,,Revision of leg vein,A,,3.83,1.79,NA,1.79,,0.99,6.61,6.61,0,090,0.09,0.84,0.07,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00