$441.99
Use 37785 for ligation, division, or excision of varicose clusters. Use 37765 when the surgeon performs stab phlebectomy and the documented incision count fits its range.
On this page
CMS RVU26D · Effective 2026-10-01
37785 Varicose vein surgery Medicare reimbursement rates in Connecticut
Report 37785 for operative ligation, division, or excision of varicose vein clusters in one leg, rather than truncal vein stripping or counted stab phlebectomy. Compare 37785 office and facility rates across CMS payment localities in Connecticut.
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 37785 in Connecticut?
Connecticut has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$361.02
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
Facility setting
$249.14
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
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.
Vascular surgery
About 37785: Varicose vein cluster ligation or excision
Report 37785 for operative ligation, division, or excision of varicose vein clusters in one leg, rather than truncal vein stripping or counted stab phlebectomy.
This code describes operative treatment of one leg’s varicose vein clusters by ligating, dividing, and/or excising the affected veins. A surgeon, often working in an outpatient setting, may use it when the targeted varicosities are clusters rather than a saphenous trunk treated by stripping. The operative report should identify the leg, the cluster locations, and the work performed.
Report one-leg treatment based on the procedure actually performed; distinguish cluster treatment from stab phlebectomy, for which incision counts guide code selection. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 identifies bilateral surgery and is paid at 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 37785
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.83 · 38%
- Practice expense (office) RVU5.33 · 53%
- Malpractice RVU0.96 · 9%
466
Medicare services in 2024 · #3623 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.
37785 compared with similar codes
Office rates for Connecticut, from the same CMS release.
$525.55
Use 37766 for stab phlebectomy when the documented incision count meets its higher threshold; 37785 describes cluster ligation, division, or excision.
No office rate
37722 describes ligation and stripping of the long saphenous vein. 37785 is for varicose vein clusters, not saphenous trunk stripping.
No office rate
37761 is for open ligation of leg veins in the perforator-vein context. 37785 addresses varicose vein clusters.
Compare 37785 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.
1 of 1 payment localities
Connecticut →
Office / nonfacility
$361.02
Facility
$249.14
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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 37785 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
4,699
- Code
- 37785
- Physician work
- 3.83
- Practice expense
- 5.33
- Malpractice
- 0.96
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.83 | × 1.020 | 3.9066 |
| Practice expense | 5.33 | × 1.077 | 5.7404 |
| Malpractice | 0.96 | × 1.210 | 1.1616 |
| Total RVUs | 10.8086 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$361.02
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.83 | 1.02 |
| Practice expense | 5.33 | 1.077 |
| Malpractice | 0.96 | 1.21 |
(3.83 × 1.02 + 5.33 × 1.077 + 0.96 × 1.21) × $33.4009 = $361.02
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.83 | 1.02 |
| Practice expense | 2.22 | 1.077 |
| Malpractice | 0.96 | 1.21 |
(3.83 × 1.02 + 2.22 × 1.077 + 0.96 × 1.21) × $33.4009 = $249.14
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.
37785 billing questions
How does 37785 differ from 37765 or 37766?
37785 is for ligation, division, or excision of varicose vein clusters. Choose 37765 or 37766 for stab phlebectomy when the documented incision count meets that code’s range.
Can 37785 be reported for both legs?
The code describes treatment of one leg. 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 or co-surgeon be billed?
Medicare does not pay an assistant at surgery for 37785. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 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 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.
4,69637766,,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
4,69937785,,Ligate/divide/excise vein,A,,3.83,5.33,,2.22,,0.96,10.12,7.01,0,090,0.09,0.84,0.07,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,70037788,,Revascularization penis,A,,22.75,8.03,NA,8.03,,2.93,33.71,33.71,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,70137790,,Penile venous occlusion,A,,8.22,3.95,NA,3.95,,1.07,13.24,13.24,0,090,0.08,0.83,0.09,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,70237799,,Unlisted px vascular surgery,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
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