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CMS RVU26D · Effective 2026-10-01

37183 in Wyoming**

Office / nonfacility

$5396.88

Base rate per service

Facility setting

$314.60

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.

Interventional radiology

About 37183: Revision of an existing TIPS

Revision of an existing transjugular intrahepatic portosystemic shunt to treat dysfunction such as stenosis or occlusion, with angioplasty or stenting when needed.

37183 is reported when an existing transjugular intrahepatic portosystemic shunt (TIPS) is revised to address dysfunction, such as stenosis or occlusion. An interventional radiologist typically evaluates the shunt with catheter-based imaging and restores flow with balloon angioplasty, stent placement, or both, when needed. Common clinical contexts include recurrent portal-hypertension complications, such as ascites or variceal bleeding, when inadequate shunt function is implicated. The service is generally performed in a hospital interventional radiology suite.

Report the revision rather than initial TIPS placement, and document the existing shunt, its dysfunction, imaging findings, and the corrective work performed. The service includes vascular access, catheterization, imaging guidance, and radiological supervision and interpretation; do not separately report angioplasty or stenting performed as part of the revision. Same-day preoperative and postoperative care is included in the 0-day global period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this anatomy. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery payment are not permitted.

CMS billing rules for 37183

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU7.55 · 5%
  • Practice expense (office) RVU153.40 · 95%
  • Malpractice RVU0.85 · 1%

773

Medicare services in 2024 · #3186 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.

37183 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

37182

TIPS placement

Initial shunt creation

No office rate

37182 is used to place a TIPS initially; 37183 is used to revise a shunt that is already in place.

37248

Venous angioplasty

Initial vein

$1,297.23

37248 describes venous balloon angioplasty outside the TIPS revision service. Angioplasty performed to revise a TIPS is included in 37183.

37238

Venous stenting

Initial vein

$3,263.86

37238 describes venous stent placement outside the TIPS revision service. Stent placement performed to revise a TIPS is included in 37183.

The same code, a different location

How does Wyoming** compare?

37183 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $5396.88

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $6342.70

    $945.82 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $6333.11

    $936.23 higher than Wyoming**

  4. Miami

    $5657.75

    $260.87 higher than Wyoming**

  5. Chicago

    $5468.42

    $71.54 higher than Wyoming**

  6. Manhattan

    $6267.08

    $870.20 higher than Wyoming**

  7. Alaska*

    $5850.65

    $453.77 higher than Wyoming**

Other payment areas listed in Wyoming appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 37183 ranges from $4668.05 in Arkansas to $7683.51 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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 · 37183

    Office

    $4751.48

    Facility

    $304.49

    $645.40 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 37183

    Office

    $4668.05

    Facility

    $302.38

    $728.83 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 37183

    Office

    $5241.34

    Facility

    $316.61

    $155.54 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 37183

    Office

    $5889.83

    Facility

    $319.65

    $492.95 higher than Wyoming** for the office setting.

  • Chico

    California · 37183

    Office

    $5887.25

    Facility

    $317.07

    $490.37 higher than Wyoming** for the office setting.

  • El Centro

    California · 37183

    Office

    $5887.40

    Facility

    $317.22

    $490.52 higher than Wyoming** for the office setting.

  • Fresno

    California · 37183

    Office

    $5887.25

    Facility

    $317.07

    $490.37 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 37183

    Office

    $5887.25

    Facility

    $317.07

    $490.37 higher than Wyoming** for the office setting.

  • Madera

    California · 37183

    Office

    $5887.25

    Facility

    $317.07

    $490.37 higher than Wyoming** for the office setting.

  • Merced

    California · 37183

    Office

    $5887.25

    Facility

    $317.07

    $490.37 higher than Wyoming** for the office setting.

  • Modesto

    California · 37183

    Office

    $5887.25

    Facility

    $317.07

    $490.37 higher than Wyoming** for the office setting.

  • Napa

    California · 37183

    Office

    $7035.52

    Facility

    $337.07

    $1638.64 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 37183

    Office

    $6333.14

    Facility

    $325.88

    $936.26 higher than Wyoming** for the office setting.

  • Redding

    California · 37183

    Office

    $5887.25

    Facility

    $317.07

    $490.37 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 37183

    Office

    $5887.25

    Facility

    $317.07

    $490.37 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 37183

    Office

    $5896.51

    Facility

    $326.33

    $499.63 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 37183

    Office

    $6235.33

    Facility

    $324.64

    $838.45 higher than Wyoming** for the office setting.

  • Salinas

    California · 37183

    Office

    $6213.58

    Facility

    $323.21

    $816.70 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 37183

    Office

    $6403.07

    Facility

    $324.66

    $1006.19 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 37183

    Office

    $7513.58

    Facility

    $347.56

    $2116.70 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 37183

    Office

    $7512.61

    Facility

    $346.60

    $2115.73 higher than Wyoming** for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 37183

    Office

    $7683.51

    Facility

    $354.86

    $2286.63 higher than Wyoming** for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 37183

    Office

    $7679.56

    Facility

    $350.91

    $2282.68 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 37183

    Office

    $6107.57

    Facility

    $318.86

    $710.69 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 37183

    Office

    $6497.98

    Facility

    $323.01

    $1101.10 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 37183

    Office

    $6248.69

    Facility

    $322.75

    $851.81 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 37183

    Office

    $6566.86

    Facility

    $325.82

    $1169.98 higher than Wyoming** for the office setting.

  • Stockton

    California · 37183

    Office

    $5887.25

    Facility

    $317.07

    $490.37 higher than Wyoming** for the office setting.

  • Vallejo

    California · 37183

    Office

    $7034.13

    Facility

    $335.68

    $1637.25 higher than Wyoming** for the office setting.

  • Visalia

    California · 37183

    Office

    $5887.25

    Facility

    $317.07

    $490.37 higher than Wyoming** for the office setting.

  • Yuba City

    California · 37183

    Office

    $5887.25

    Facility

    $317.07

    $490.37 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 37183

    Office

    $5728.99

    Facility

    $321.44

    $332.11 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 37183

    Office

    $5809.80

    Facility

    $336.18

    $412.92 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 37183

    Office

    $5341.17

    Facility

    $319.88

    $55.71 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 37183

    Office

    $5493.81

    Facility

    $345.46

    $96.93 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 37183

    Office

    $5193.10

    Facility

    $334.44

    $203.78 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 37183

    Office

    $5492.71

    Facility

    $329.11

    $95.83 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 37183

    Office

    $4856.36

    Facility

    $322.96

    $540.52 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 37183

    Office

    $6094.26

    Facility

    $315.71

    $697.38 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 37183

    Office

    $4951.63

    Facility

    $301.34

    $445.25 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 37183

    Office

    $4979.41

    Facility

    $303.71

    $417.47 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 37183

    Office

    $5023.16

    Facility

    $347.46

    $373.72 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 37183

    Office

    $4974.49

    Facility

    $334.37

    $422.39 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 37183

    Office

    $5566.29

    Facility

    $346.79

    $169.41 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 37183

    Office

    $5015.64

    Facility

    $304.37

    $381.24 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 37183

    Office

    $4898.31

    Facility

    $303.93

    $498.57 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 37183

    Office

    $4833.12

    Facility

    $314.97

    $563.76 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 37183

    Office

    $5105.83

    Facility

    $323.40

    $291.05 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 37183

    Office

    $4813.85

    Facility

    $316.03

    $583.03 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 37183

    Office

    $6405.48

    Facility

    $337.24

    $1008.60 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 37183

    Office

    $5674.09

    Facility

    $322.45

    $277.21 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 37183

    Office

    $5789.06

    Facility

    $335.77

    $392.18 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 37183

    Office

    $5465.94

    Facility

    $322.68

    $69.06 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 37183

    Office

    $4983.64

    Facility

    $307.94

    $413.24 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 37183

    Office

    $5347.68

    Facility

    $311.14

    $49.20 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 37183

    Office

    $5244.41

    Facility

    $340.01

    $152.47 lower than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 37183

    Office

    $4962.17

    Facility

    $322.04

    $434.71 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 37183

    Office

    $5532.87

    Facility

    $303.20

    $135.99 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 37183

    Office

    $5091.07

    Facility

    $318.81

    $305.81 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 37183

    Office

    $5158.38

    Facility

    $320.05

    $238.50 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 37183

    Office

    $4696.46

    Facility

    $315.53

    $700.42 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 37183

    Office

    $4684.66

    Facility

    $308.82

    $712.22 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 37183

    Office

    $5404.21

    Facility

    $321.93

    $7.33 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 37183

    Office

    $5050.73

    Facility

    $308.96

    $346.15 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 37183

    Office

    $5387.40

    Facility

    $305.12

    $9.48 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 37183

    Office

    $4992.08

    Facility

    $301.14

    $404.80 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 37183

    Office

    $5610.79

    Facility

    $320.13

    $213.91 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 37183

    Office

    $6241.88

    Facility

    $346.43

    $845.00 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 37183

    Office

    $5888.49

    Facility

    $338.64

    $491.61 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 37183

    Office

    $4984.71

    Facility

    $324.25

    $412.17 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 37183

    Office

    $5404.65

    Facility

    $317.28

    $7.77 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 37183

    Office

    $6413.11

    Facility

    $370.28

    $1016.23 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 37183

    Office

    $5908.33

    Facility

    $343.23

    $511.45 higher than Wyoming** for the office setting.

  • Queens

    New York · 37183

    Office

    $6365.47

    Facility

    $358.21

    $968.59 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 37183

    Office

    $5139.65

    Facility

    $311.48

    $257.23 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 37183

    Office

    $4958.73

    Facility

    $318.61

    $438.15 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 37183

    Office

    $4849.70

    Facility

    $311.22

    $547.18 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 37183

    Office

    $5969.76

    Facility

    $323.35

    $572.88 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 37183

    Office

    $5375.34

    Facility

    $313.39

    $21.54 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 37183

    Office

    $5624.36

    Facility

    $333.70

    $227.48 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 37183

    Office

    $4982.56

    Facility

    $317.03

    $414.32 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 37183

    Office

    $5460.20

    Facility

    $322.01

    $63.32 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 37183

    Office

    $5575.07

    Facility

    $325.08

    $178.19 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 37183

    Office

    $5010.61

    Facility

    $314.58

    $386.27 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 37183

    Office

    $5385.41

    Facility

    $303.13

    $11.47 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 37183

    Office

    $4924.86

    Facility

    $305.07

    $472.02 lower than Wyoming** for the office setting.

  • Austin

    Texas · 37183

    Office

    $5698.71

    Facility

    $321.65

    $301.83 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 37183

    Office

    $4941.12

    Facility

    $316.24

    $455.76 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 37183

    Office

    $5353.92

    Facility

    $317.38

    $42.96 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 37183

    Office

    $5382.01

    Facility

    $320.06

    $14.87 lower than Wyoming** for the office setting.

  • Fort Worth

    Texas · 37183

    Office

    $5331.14

    Facility

    $320.01

    $65.74 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 37183

    Office

    $5365.53

    Facility

    $318.83

    $31.35 lower than Wyoming** for the office setting.

  • Houston

    Texas · 37183

    Office

    $5381.09

    Facility

    $334.39

    $15.79 lower than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 37183

    Office

    $5140.20

    Facility

    $317.12

    $256.68 lower than Wyoming** for the office setting.

  • Utah

    Utah · 37183

    Office

    $5093.95

    Facility

    $316.60

    $302.93 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 37183

    Office

    $5308.82

    Facility

    $312.93

    $88.06 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 37183

    Office

    $5460.20

    Facility

    $322.01

    $63.32 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 37183

    Office

    $5339.00

    Facility

    $307.55

    $57.88 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 37183

    Office

    $5672.31

    Facility

    $320.67

    $275.43 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 37183

    Office

    $6574.76

    Facility

    $338.80

    $1177.88 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 37183

    Office

    $5169.42

    Facility

    $300.60

    $227.46 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 37183

    Office

    $4745.30

    Facility

    $328.80

    $651.58 lower than Wyoming** for the office setting.

See how rates vary across the country

37183 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$4,668.05

$6,785.38

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$5,850.651
AL$4,751.481
AR$4,668.051
AZ$5,241.341
CA$5,887.25–$7,683.5129
CO$5,728.991
CT$5,809.801
DC$6,333.111
DE$5,341.171
FL$5,193.10–$5,657.753
GA$4,856.36–$5,492.712
GU$6,094.261
HI$6,094.261
IA$4,951.631
ID$4,979.411
IL$4,974.49–$5,566.294
IN$5,015.641
KS$4,898.311
KY$4,833.121
LA$4,813.85–$5,105.832
MA$5,674.09–$6,405.482
MD$5,465.94–$6,333.113
ME$4,983.64–$5,347.682
MI$4,962.17–$5,244.412
MN$5,532.871
MO$4,696.46–$5,158.383
MS$4,684.661
MT$5,404.211
NC$5,050.731
ND$5,387.401
NE$4,992.081
NH$5,610.791
NJ$5,888.49–$6,241.882
NM$4,984.711
NV$5,404.651
NY$5,139.65–$6,413.115
OH$4,958.731
OK$4,849.701
OR$5,375.34–$5,969.762
PA$4,982.56–$5,624.362
PR$5,460.201
RI$5,575.071
SC$5,010.611
SD$5,385.411
TN$4,924.861
TX$4,941.12–$5,698.718
UT$5,093.951
VA$5,308.82–$6,333.112
VI$5,460.201
VT$5,339.001
WA$5,672.31–$6,574.762
WI$5,169.421
WV$4,745.301
WY$5,396.881

Explore 37183 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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.

Browse all communities in Wyoming →

Why are the office and facility amounts different?

For 37183 in Wyoming**, the physician’s office rate is $5396.88 and the facility-setting rate is $314.60: a difference of $5082.28.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 37183 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$5936.57

$5396.88 × 110% = $5936.57

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.

Compare your contract offer →

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 37183 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

4,578

Code
37183
Physician work
7.55
Practice expense
153.40
Malpractice
0.85

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 37183 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work7.55× 1.0007.5500
Practice expense153.40× 1.000153.4000
Malpractice0.85× 0.7400.6290
Total RVUs161.5790
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$5396.88

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 37183 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work7.551
Practice expense153.41
Malpractice0.850.74

(7.55 × 1 + 153.4 × 1 + 0.85 × 0.74) × $33.4009 = $5396.88

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work7.551
Practice expense1.241
Malpractice0.850.74

(7.55 × 1 + 1.24 × 1 + 0.85 × 0.74) × $33.4009 = $314.60

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

37183 · Office / nonfacility

$5396.88

Effective 2026-10-01

The base rate is $108.60 higher than on 2025-10-01, moving from $5288.28 to $5396.88 (2.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $5288.28changed to$5396.88

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 7.74 changed to 7.55
    • Practice expense RVU 155.15 changed to 153.40
    • Malpractice RVU 0.81 changed to 0.85
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $5288.28

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$5396.88$314.60RVU26D
2026-07-01$5396.88$314.60RVU26C
2026-04-01$5396.88$314.60RVU26B
2026-01-01$5396.88$314.60RVU26A
2025-10-01$5288.28$346.39RVU25D
2025-07-01$5288.28$346.39RVU25C
2025-04-01$5288.28$346.39RVU25B
2025-01-01$5288.28$346.39RVU25A

37183 billing questions

When should 37183 be chosen over 37182?

Use 37183 to revise an existing TIPS for dysfunction. Code 37182 describes initial TIPS placement.

Can angioplasty or stent placement be reported separately during the TIPS revision?

No. Angioplasty and stent placement performed as part of the TIPS revision are included in 37183.

Are imaging guidance and radiological interpretation included?

Yes. The service includes imaging guidance and radiological supervision and interpretation, along with vascular access and catheterization.

Can modifier 50 be used when the shunt is revised?

No. Report the TIPS revision as a single procedure; modifier 50 is inappropriate for this anatomy.

What documentation supports reporting 37183?

Document that a TIPS already exists, the evidence of dysfunction, relevant imaging findings, and the revision performed, such as angioplasty or stent placement.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure's 0-day global period.

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.

RVUs for 37183PPRRVU2026_Oct_nonQPP.csv, line 4,578 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet