No office rate
Both address perforator veins beneath the fascia, but 37760 is the radical, extensive operation; 37761 describes open perforator ligation without that radical extent.
On this page
CMS RVU26D · Effective 2026-10-01
37760 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$521.05
Base rate per service
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.
Vascular surgery
About 37760: Radical subfascial perforator vein ligation
Open radical subfascial ligation of incompetent perforator veins in one leg, typically for advanced venous disease with ulceration or skin changes.
This code describes an extensive open operation that reaches beneath the leg’s fascia to interrupt incompetent perforator veins connecting the superficial and deep venous systems. Vascular surgeons typically perform it for advanced chronic venous insufficiency, including disease associated with venous skin changes or ulceration. Skin grafting, when performed as part of the operation, is included.
Report the code for the radical subfascial procedure on one leg, not for limited open perforator ligation or superficial varicose-vein removal. The operative report should support the treated leg, subfascial approach, and extent of perforator-vein work. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 for bilateral surgery is paid at 150%. Assistant-at-surgery services are not paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 37760
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care 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 RVU10.51 · 66%
- Practice expense (office) RVU2.66 · 17%
- Malpractice RVU2.68 · 17%
31
Medicare services in 2024 · #5644 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.
37760 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
37722 treats the long saphenous trunk by ligation and stripping. Choose 37760 when the operation targets incompetent perforator veins beneath the fascia.
$408.62
37765 is for removal of superficial varicose veins through 10–20 small incisions. It does not describe radical subfascial perforator ligation.
The same code, a different location
How does Delaware compare?
37760 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Alabama
Alabama · 37760
Office
Unavailable
Facility
$479.45
No comparable office rate is available.
Arkansas
Arkansas · 37760
Office
Unavailable
Facility
$473.46
No comparable office rate is available.
Arizona
Arizona · 37760
Office
Unavailable
Facility
$513.76
No comparable office rate is available.
Bakersfield
California · 37760
Office
Unavailable
Facility
$509.60
No comparable office rate is available.
Chico
California · 37760
Office
Unavailable
Facility
$502.37
No comparable office rate is available.
El Centro
California · 37760
Office
Unavailable
Facility
$502.81
No comparable office rate is available.
Fresno
California · 37760
Office
Unavailable
Facility
$502.37
No comparable office rate is available.
Hanford-Corcoran
California · 37760
Office
Unavailable
Facility
$502.37
No comparable office rate is available.
Madera
California · 37760
Office
Unavailable
Facility
$502.37
No comparable office rate is available.
Merced
California · 37760
Office
Unavailable
Facility
$502.37
No comparable office rate is available.
Modesto
California · 37760
Office
Unavailable
Facility
$502.37
No comparable office rate is available.
Napa
California · 37760
Office
Unavailable
Facility
$535.73
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 37760
Office
Unavailable
Facility
$521.66
No comparable office rate is available.
Redding
California · 37760
Office
Unavailable
Facility
$502.37
No comparable office rate is available.
Rest Of California
California · 37760
Office
Unavailable
Facility
$502.37
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 37760
Office
Unavailable
Facility
$531.09
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 37760
Office
Unavailable
Facility
$514.99
No comparable office rate is available.
Salinas
California · 37760
Office
Unavailable
Facility
$512.88
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 37760
Office
Unavailable
Facility
$516.35
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 37760
Office
Unavailable
Facility
$550.75
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 37760
Office
Unavailable
Facility
$547.71
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 37760
Office
Unavailable
Facility
$565.75
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 37760
Office
Unavailable
Facility
$553.31
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 37760
Office
Unavailable
Facility
$506.19
No comparable office rate is available.
Santa Cruz-Watsonville
California · 37760
Office
Unavailable
Facility
$514.34
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 37760
Office
Unavailable
Facility
$512.45
No comparable office rate is available.
Santa Rosa-Petaluma
California · 37760
Office
Unavailable
Facility
$518.66
No comparable office rate is available.
Stockton
California · 37760
Office
Unavailable
Facility
$502.37
No comparable office rate is available.
Vallejo
California · 37760
Office
Unavailable
Facility
$531.35
No comparable office rate is available.
Visalia
California · 37760
Office
Unavailable
Facility
$502.37
No comparable office rate is available.
Yuba City
California · 37760
Office
Unavailable
Facility
$502.37
No comparable office rate is available.
Colorado
Colorado · 37760
Office
Unavailable
Facility
$519.70
No comparable office rate is available.
Connecticut
Connecticut · 37760
Office
Unavailable
Facility
$562.06
No comparable office rate is available.
Fort Lauderdale
Florida · 37760
Office
Unavailable
Facility
$602.89
No comparable office rate is available.
Rest Of Florida
Florida · 37760
Office
Unavailable
Facility
$570.52
No comparable office rate is available.
Atlanta
Georgia · 37760
Office
Unavailable
Facility
$549.87
No comparable office rate is available.
Rest Of Georgia
Georgia · 37760
Office
Unavailable
Facility
$537.00
No comparable office rate is available.
Hawaii, Guam
Hawaii · 37760
Office
Unavailable
Facility
$503.89
No comparable office rate is available.
Iowa
Iowa · 37760
Office
Unavailable
Facility
$467.88
No comparable office rate is available.
Idaho
Idaho · 37760
Office
Unavailable
Facility
$475.12
No comparable office rate is available.
East St. Louis
Illinois · 37760
Office
Unavailable
Facility
$613.06
No comparable office rate is available.
Rest Of Illinois
Illinois · 37760
Office
Unavailable
Facility
$572.07
No comparable office rate is available.
Suburban Chicago
Illinois · 37760
Office
Unavailable
Facility
$603.37
No comparable office rate is available.
Indiana
Indiana · 37760
Office
Unavailable
Facility
$476.91
No comparable office rate is available.
Kansas
Kansas · 37760
Office
Unavailable
Facility
$476.48
No comparable office rate is available.
Kentucky
Kentucky · 37760
Office
Unavailable
Facility
$511.93
No comparable office rate is available.
New Orleans
Louisiana · 37760
Office
Unavailable
Facility
$536.34
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 37760
Office
Unavailable
Facility
$515.43
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 37760
Office
Unavailable
Facility
$551.19
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 37760
Office
Unavailable
Facility
$521.56
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 37760
Office
Unavailable
Facility
$562.72
No comparable office rate is available.
Rest Of Maryland
Maryland · 37760
Office
Unavailable
Facility
$526.64
No comparable office rate is available.
Rest Of Maine
Maine · 37760
Office
Unavailable
Facility
$488.46
No comparable office rate is available.
Southern Maine
Maine · 37760
Office
Unavailable
Facility
$495.57
No comparable office rate is available.
Detroit
Michigan · 37760
Office
Unavailable
Facility
$587.70
No comparable office rate is available.
Rest Of Michigan
Michigan · 37760
Office
Unavailable
Facility
$533.22
No comparable office rate is available.
Minnesota
Minnesota · 37760
Office
Unavailable
Facility
$468.96
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 37760
Office
Unavailable
Facility
$521.93
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 37760
Office
Unavailable
Facility
$525.32
No comparable office rate is available.
Rest Of Missouri
Missouri · 37760
Office
Unavailable
Facility
$514.82
No comparable office rate is available.
Mississippi
Mississippi · 37760
Office
Unavailable
Facility
$493.69
No comparable office rate is available.
Montana**
Montana · 37760
Office
Unavailable
Facility
$529.23
No comparable office rate is available.
North Carolina
North Carolina · 37760
Office
Unavailable
Facility
$491.14
No comparable office rate is available.
North Dakota**
North Dakota · 37760
Office
Unavailable
Facility
$476.23
No comparable office rate is available.
Nebraska
Nebraska · 37760
Office
Unavailable
Facility
$466.89
No comparable office rate is available.
New Hampshire
New Hampshire · 37760
Office
Unavailable
Facility
$521.86
No comparable office rate is available.
Northern Nj
New Jersey · 37760
Office
Unavailable
Facility
$571.82
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 37760
Office
Unavailable
Facility
$560.30
No comparable office rate is available.
New Mexico
New Mexico · 37760
Office
Unavailable
Facility
$540.02
No comparable office rate is available.
Nevada**
Nevada · 37760
Office
Unavailable
Facility
$514.54
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 37760
Office
Unavailable
Facility
$645.38
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 37760
Office
Unavailable
Facility
$572.44
No comparable office rate is available.
Queens
New York · 37760
Office
Unavailable
Facility
$607.61
No comparable office rate is available.
Rest Of New York
New York · 37760
Office
Unavailable
Facility
$498.38
No comparable office rate is available.
Ohio
Ohio · 37760
Office
Unavailable
Facility
$522.39
No comparable office rate is available.
Oklahoma
Oklahoma · 37760
Office
Unavailable
Facility
$499.94
No comparable office rate is available.
Portland
Oregon · 37760
Office
Unavailable
Facility
$521.97
No comparable office rate is available.
Rest Of Oregon
Oregon · 37760
Office
Unavailable
Facility
$502.46
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 37760
Office
Unavailable
Facility
$556.64
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 37760
Office
Unavailable
Facility
$517.20
No comparable office rate is available.
Puerto Rico
Puerto Rico · 37760
Office
Unavailable
Facility
$529.04
No comparable office rate is available.
Rhode Island
Rhode Island · 37760
Office
Unavailable
Facility
$529.34
No comparable office rate is available.
South Carolina
South Carolina · 37760
Office
Unavailable
Facility
$509.22
No comparable office rate is available.
South Dakota**
South Dakota · 37760
Office
Unavailable
Facility
$469.97
No comparable office rate is available.
Tennessee
Tennessee · 37760
Office
Unavailable
Facility
$479.87
No comparable office rate is available.
Austin
Texas · 37760
Office
Unavailable
Facility
$525.05
No comparable office rate is available.
Beaumont
Texas · 37760
Office
Unavailable
Facility
$515.05
No comparable office rate is available.
Brazoria
Texas · 37760
Office
Unavailable
Facility
$511.72
No comparable office rate is available.
Dallas
Texas · 37760
Office
Unavailable
Facility
$519.50
No comparable office rate is available.
Fort Worth
Texas · 37760
Office
Unavailable
Facility
$519.77
No comparable office rate is available.
Galveston
Texas · 37760
Office
Unavailable
Facility
$516.19
No comparable office rate is available.
Houston
Texas · 37760
Office
Unavailable
Facility
$565.25
No comparable office rate is available.
Rest Of Texas
Texas · 37760
Office
Unavailable
Facility
$516.19
No comparable office rate is available.
Utah
Utah · 37760
Office
Unavailable
Facility
$514.94
No comparable office rate is available.
Virginia
Virginia · 37760
Office
Unavailable
Facility
$501.58
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 37760
Office
Unavailable
Facility
$529.04
No comparable office rate is available.
Vermont
Vermont · 37760
Office
Unavailable
Facility
$484.30
No comparable office rate is available.
Rest Of Washington
Washington · 37760
Office
Unavailable
Facility
$517.28
No comparable office rate is available.
Seattle (King Cnty)
Washington · 37760
Office
Unavailable
Facility
$550.74
No comparable office rate is available.
Wisconsin
Wisconsin · 37760
Office
Unavailable
Facility
$463.73
No comparable office rate is available.
West Virginia
West Virginia · 37760
Office
Unavailable
Facility
$556.35
No comparable office rate is available.
Wyoming**
Wyoming · 37760
Office
Unavailable
Facility
$506.13
No comparable office rate is available.
See how rates vary across the country
37760 · 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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 37760 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$573.15
$521.05 × 110% = $573.15
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 37760 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
4,693
- Code
- 37760
- Physician work
- 10.51
- Practice expense
- 2.66
- Malpractice
- 2.68
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.51 | × 1.005 | 10.5625 |
| Practice expense | 2.66 | × 0.988 | 2.6281 |
| Malpractice | 2.68 | × 0.899 | 2.4093 |
| Total RVUs | 15.5999 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$521.05
Open 37760 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.51 | 1.005 |
| Practice expense | 2.66 | 0.988 |
| Malpractice | 2.68 | 0.899 |
(10.51 × 1.005 + 2.66 × 0.988 + 2.68 × 0.899) × $33.4009 = $521.05
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
37760 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $521.05 | RVU26D |
| 2026-07-01 | Not available in this setting | $521.05 | RVU26C |
| 2026-04-01 | Not available in this setting | $521.05 | RVU26B |
| 2026-01-01 | Not available in this setting | $521.05 | RVU26A |
| 2025-10-01 | Not available in this setting | $549.34 | RVU25D |
| 2025-07-01 | Not available in this setting | $549.34 | RVU25C |
| 2025-04-01 | Not available in this setting | $549.34 | RVU25B |
| 2025-01-01 | Not available in this setting | $549.34 | RVU25A |
37760 billing questions
How does 37760 differ from 37761?
37760 is the radical, extensive subfascial operation. Use 37761 for open subfascial perforator ligation that does not meet the radical-procedure description.
Is skin grafting separately reported with 37760?
Skin grafting performed as part of this operation is included in 37760.
What documentation supports 37760?
Document the leg treated, the open subfascial approach, and the extent of perforator-vein ligation. The operative note should support why the service was the radical procedure rather than a more limited perforator ligation.
How is bilateral 37760 reported?
For bilateral surgery, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant surgeon or co-surgeon be billed?
Assistant-at-surgery services are not paid for this code. Co-surgeons are paid only when supporting documentation is provided; 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.
4,69037722,,Lig div&strpg long saph vein,A,,7.96,2.70,NA,2.70,,2.04,12.70,12.70,0,090,0.09,0.84,0.07,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,69137735,,Lig&div&compl strpg saph vn,A,,10.63,2.67,NA,2.67,,2.71,16.01,16.01,0,090,0.09,0.84,0.07,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,6923775F,,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
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503