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CPT 37780: Vein revisionMedicare rate & RVUs

Reports surgical revision of previously treated leg veins, typically for recurrent or residual varicosities after an earlier vein ligation.

CMS RVU26DEffective Oct 1, 2026109 payment localities44 Medicare services in 2024

Medicare pays $220.78 for 37780 nationally in a facility.

Medicare rate · 37780

Vein revision

Swap in your local Medicare rate.

Work RVUs
3.83
Total RVUs
6.61
Global days
090

National rate · 2026

$220.78

Facility setting, before claim adjustments.

See every locality for 37780 →

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
  1. Medicare rate
  2. What 37780 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 37780 covers

This service involves surgically revising a previously treated vein in the leg, often when varicosities recur or persist after prior ligation. A vascular surgeon or other qualified surgeon may identify and revise the affected vein, with ligation, division, or excision as needed. These procedures are generally performed in an operating-room setting; the operative report should identify the prior treatment and the vein or recurrent disease addressed.

Report the code for revision of the previously treated leg vein, rather than for primary treatment of a new varicose-vein cluster. Documentation should support the recurrent or residual condition and describe the revision performed. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment is barred; co-surgeons require supporting documentation, and team surgery is 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 37780 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

37780 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$198.96
Alaska*Unavailable$273.78
ArizonaUnavailable$214.16
ArkansasUnavailable$196.31
AtlantaUnavailable$228.77
AustinUnavailable$220.73
BakersfieldUnavailable$216.02
Baltimore/Surr. CntysUnavailable$235.03
BeaumontUnavailable$213.05
BrazoriaUnavailable$213.99

37780 rates by state

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

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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
37780 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 37780 rate is calculated

Each of 37780’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 · 37780

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 3.83Practice expense 1.79Malpractice 0.99

6.6100 adjusted RVUs×$33.4009 conversion factor=$220.78

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 37780

37780 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 37780

Vein revision

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)1Not paid (statutory restriction).
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 · 37780

Vein revision

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

37780 without 50 · national facility

$220.78

Vein revision

37780-50 · Bilateral: 150%

$331.17

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

37780 compared with similar codes

Compare codes

37780 vs 37785 vs 37765 vs 37766: national Medicare rates

Swap in your local Medicare rate.

  • 37780
    Vein revision · 3.83 wRVU
    —
  • 37785
    Varicose vein surgery · 3.83 wRVU
    $338.02
  • 37765
    Stab phlebectomy · 4.68 wRVU
    $414.17
  • 37766
    Stab phlebectomy · 5.85 wRVU
    $492.66

How to choose

37785Varicose vein surgery
37780 is for revision of a previously treated leg vein. 37785 addresses a varicose-vein cluster treated through a single incision.
37765Stab phlebectomy
37765 describes stab phlebectomy of 10–20 leg veins. Choose 37780 when the operative service is revision of a previously treated vein.
37766Stab phlebectomy
37766 describes stab phlebectomy of more than 20 leg veins. It is not the revision code for a previously treated vein.

Codes related to 37780

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 37780
CodeHow it relatesNational office range
Used instead
37785Varicose vein surgeryTreats a varicose-vein cluster through a single incision rather than revising a previously treated vein.$297.36–$415.90
37765Stab phlebectomyStab phlebectomy for 10–20 leg veins, rather than revision of a previously treated vein.$365.29–$512.35
37766Stab phlebectomyStab phlebectomy for more than 20 leg veins, rather than revision of a previously treated vein.$435.01–$604.09

37780 billing questions

When is 37780 reported instead of 37785?

Use 37780 for revision of a previously treated leg vein. Code 37785 describes treatment of a varicose-vein cluster through a single incision, rather than revision of a previously ligated vein.

What documentation supports reporting 37780?

The operative report should establish the prior vein treatment, the recurrent or residual problem, and the revision performed. Identify the affected leg and vein or varicosity addressed.

How is bilateral revision reported?

For bilateral surgery, report modifier 50. CMS pays the bilateral procedure at 150%.

What postoperative care is included?

The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant surgeon or co-surgeon be reported?

Assistant-at-surgery payment is barred for this code. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.

How does CMS handle multiple procedures in the same session?

The highest-valued procedure is paid in full, and other procedures are paid at 50% when performed in the same session.

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 37780PPRRVU2026_Oct_nonQPP.csv, line 4,698 (RVU26D)

Open CMS sourceHow we calculate rates

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