$1,581.45
37187 reports the primary venous mechanical thrombectomy. Use 37188 only for repeat thrombectomy during that same session, in addition to the primary service.
On this page
CMS RVU26D · Effective 2026-10-01
37188 Venous thrombectomy Medicare reimbursement rates in Delaware
Reports repeat catheter-based mechanical removal of venous thrombus during the same session as primary venous thrombectomy when further treatment is performed. Compare 37188 office and facility rates across CMS payment localities in Delaware.
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 37188 in Delaware?
Delaware 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
$1360.79
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
Facility setting
$247.37
1 of 1 localities have a supported rate.
Payment area: Delaware
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 intervention
About 37188: Repeat venous mechanical thrombectomy
Reports repeat catheter-based mechanical removal of venous thrombus during the same session as primary venous thrombectomy when further treatment is performed.
This code describes repeat catheter-based mechanical removal of thrombus from a vein during the same session as the primary venous thrombectomy. It is used in endovascular treatment of venous clot, such as deep vein thrombosis, when the physician performs repeat thrombectomy after the primary treatment. Interventional radiologists, vascular surgeons, and other physicians with appropriate endovascular training commonly perform the service in a hospital or other procedural facility. Fluoroscopic guidance and intraprocedural thrombolytic injections are part of the service.
Report 37188 as an add-on to 37187, not as the primary venous thrombectomy code. The procedure report should identify the treated vein or veins, the primary thrombectomy, and the repeat treatment performed during that same session. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral treatment, modifier 50 is paid at 150%. An assistant at surgery is not paid; co-surgeons are permitted, while team surgery is not permitted.
CMS billing rules for 37188
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.32 · 13%
- Practice expense (office) RVU34.86 · 85%
- Malpractice RVU1.06 · 3%
127
Medicare services in 2024 · #4689 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.
37188 compared with similar codes
Office rates for Delaware, from the same CMS release.
$1,611.56
37184 is for primary mechanical thrombectomy in an artery or arterial bypass graft; 37188 concerns repeat treatment of venous thrombus.
$1,143.03
37186 describes secondary mechanical thrombectomy in arterial treatment performed with another percutaneous intervention. It is not the repeat venous thrombectomy add-on.
Compare 37188 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
Delaware →
Office / nonfacility
$1360.79
Facility
$247.37
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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 37188 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
4,583
- Code
- 37188
- Physician work
- 5.32
- Practice expense
- 34.86
- Malpractice
- 1.06
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.32 | × 1.005 | 5.3466 |
| Practice expense | 34.86 | × 0.988 | 34.4417 |
| Malpractice | 1.06 | × 0.899 | 0.9529 |
| Total RVUs | 40.7412 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$1360.79
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.32 | 1.005 |
| Practice expense | 34.86 | 0.988 |
| Malpractice | 1.06 | 0.899 |
(5.32 × 1.005 + 34.86 × 0.988 + 1.06 × 0.899) × $33.4009 = $1360.79
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.32 | 1.005 |
| Practice expense | 1.12 | 0.988 |
| Malpractice | 1.06 | 0.899 |
(5.32 × 1.005 + 1.12 × 0.988 + 1.06 × 0.899) × $33.4009 = $247.37
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.
37188 billing questions
When should 37188 be reported instead of 37187?
Use 37187 for the primary venous mechanical thrombectomy. Report 37188 as the add-on when repeat venous mechanical thrombectomy is performed during that same session.
Can 37188 be billed by itself?
No. It is reported with the primary venous thrombectomy code 37187.
Are fluoroscopy and thrombolytic injections separately reported?
Fluoroscopic guidance and intraprocedural pharmacological thrombolytic injections are included in the thrombectomy service.
How is bilateral treatment reported?
Use modifier 50 for a bilateral procedure; CMS pays the bilateral service at 150%.
What documentation supports 37188?
Document the treated vein or veins, the primary thrombectomy, and the repeat mechanical treatment performed during the same session.
Does the 0-day global period include same-day care?
Yes. Same-day preoperative and postoperative care is included in the procedure's payment.
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.
4,58037185,,Prim art m-thrmbc sbsq vsl,A,,3.20,9.95,,0.44,,0.59,13.74,4.23,0,ZZZ,0.00,0.00,0.00,0,2,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,58137186,,Sec art thrombectomy add-on,A,,4.80,28.79,,0.66,,1.06,34.65,6.52,0,ZZZ,0.00,0.00,0.00,0,2,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,58237187,,Venous mech thrombectomy,A,,7.59,39.01,,1.45,,1.31,47.91,10.35,0,000,0.00,0.00,0.00,2,1,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,58337188,,Ven mechnl thrmbc repeat tx,A,,5.32,34.86,,1.12,,1.06,41.24,7.50,0,000,0.00,0.00,0.00,0,1,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,58437191,,Ins endovas vena cava filtr,A,,4.35,51.45,,0.73,,0.64,56.44,5.72,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,58537192,,Redo endovas vena cava filtr,A,,6.92,27.14,,0.64,,1.76,35.82,9.32,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,58637193,,Rem endovas vena cava filter,A,,6.92,34.29,,1.05,,1.07,42.28,9.04,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,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