No office rate
This code applies when the femoral vein is ligated. Report 37619 only when the inferior vena cava itself is ligated.
On this page
CMS RVU26D · Effective 2026-10-01
37619 IVC ligation Medicare reimbursement rates in Delaware
Reports surgical ligation of the inferior vena cava, generally to interrupt venous flow when managing serious pulmonary embolic risk. Compare 37619 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 37619 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
No supported rate
Facility setting
$1557.18
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 surgery
About 37619: Inferior vena cava ligation
Reports surgical ligation of the inferior vena cava, generally to interrupt venous flow when managing serious pulmonary embolic risk.
This code represents an operation that ties off the inferior vena cava, the large vein returning blood from the lower body to the heart. Vascular or general surgeons may perform it in a hospital operating room when an unusual, serious clinical circumstance calls for surgical interruption of this venous pathway. The operative report should identify the vena cava as the vessel treated and describe the ligation; do not select this code for ligation of a lower-extremity or iliac vein.
Report the service when the surgeon actually ligates the inferior vena cava, rather than placing an intravascular filter. The code has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and applies its standard reduction to the others. Bilateral adjustment is inappropriate for this single midline vessel. An assistant at surgery may be paid; co-surgeon and team-surgery payment are not permitted.
CMS billing rules for 37619
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU29.25 · 62%
- Practice expense (office) RVU10.30 · 22%
- Malpractice RVU7.84 · 17%
18
Medicare services in 2024 · #5976 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.
37619 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
This code identifies ligation of the common iliac vein. The vessel named in the operative report determines whether 37660 or 37619 applies.
$1,863.09
Use 37191 for endovascular IVC filter placement; 37619 describes surgical ligation of the vena cava, not filter insertion.
Compare 37619 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
Unavailable
Facility
$1557.18
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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 37619 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
4,682
- Code
- 37619
- Physician work
- 29.25
- Practice expense
- 10.30
- Malpractice
- 7.84
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 29.25 | × 1.005 | 29.3962 |
| Practice expense | 10.30 | × 0.988 | 10.1764 |
| Malpractice | 7.84 | × 0.899 | 7.0482 |
| Total RVUs | 46.6208 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$1557.18
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 29.25 | 1.005 |
| Practice expense | 10.3 | 0.988 |
| Malpractice | 7.84 | 0.899 |
(29.25 × 1.005 + 10.3 × 0.988 + 7.84 × 0.899) × $33.4009 = $1557.18
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.
37619 billing questions
How is this different from IVC filter placement?
This code is for surgically tying off the vena cava. Filter placement is a separate endovascular service, reported with the code for that procedure.
How do I distinguish it from iliac or femoral vein ligation?
Use this code only when the operative report identifies the inferior vena cava as the vessel ligated. Ligation of the common iliac or femoral vein is represented by a different code.
Can modifier 50 be used?
No. The IVC is a single midline vessel, and CMS does not apply a bilateral adjustment to this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon and team-surgery payment are not permitted for this code.
What happens if another procedure is performed in the same session?
Medicare pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the other procedure or procedures.
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.
4,67937616,,Ligation major artery chest,A,,18.50,9.00,NA,9.00,,4.56,32.06,32.06,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,68037617,,Ligation major artery abd,A,,23.20,7.37,NA,7.37,,5.49,36.06,36.06,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,68137618,,Ligation major artery xtr,A,,5.88,3.76,NA,3.76,,1.42,11.06,11.06,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,68237619,,Ligation of inf vena cava,A,,29.25,10.30,NA,10.30,,7.84,47.39,47.39,0,090,0.09,0.84,0.07,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,6833761F,,Pt w/o dysphag/wt loss/nutr,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
4,6843762F,,Patient is dysarthric,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
4,6853763F,,Patient is not dysarthric,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
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