CPT code 37241: Venous embolization2026 Medicare rate & RVUs in Georgia
Report 37241 for catheter-based embolization of a nonhemorrhagic venous target, including venous malformations, varicocele-related reflux, or pelvic venous reflux.
Medicare pays $3,962.25–$4,467.66 for 37241 in the office in Georgia, from Rest Of Georgia to Atlanta. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 37241 covers
Code 37241 reports catheter-directed closure or embolization of a vein for a nonhemorrhagic problem, such as a symptomatic varicocele, pelvic venous reflux, or a congenital or acquired venous malformation. An interventional radiologist or vascular specialist may deliver coils, plugs, or a sclerosant through a catheter under imaging in an angiography suite or another procedural setting. The target is venous; code selection does not depend on a particular embolic material.
Select this code by the treated venous condition; use the arterial, organ or tumor, or hemorrhage code when that is the treatment purpose. The embolization service includes the imaging guidance, roadmapping, and radiological supervision and interpretation needed to perform it. Document the target vein, indication, access and catheter work, embolic method, and completion findings. The 0-day global period includes same-day preoperative and postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Modifier 50 is inappropriate; Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery reporting are not permitted.
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.
Where 37241 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta | $4,467.66 | $381.17 |
| Rest Of Georgia | $3,962.25 | $374.50 |
How the 37241 rate is calculated
Each of 37241’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 37241
RVUs × geographic indexes × conversion factor
Work8.53
8.53 RVUs× 1.000 GPCI
Practice expense121.73
121.73 RVUs× 1.000 GPCI
Malpractice1.27
1.27 RVUs× 1.000 GPCI
Adjusted RVUs
131.5300
Conversion factor
$33.4009
Medicare rate
$4,393.22
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 37241
The CMS indicators that decide how 37241 is paid alongside other services.
CMS payment indicators · 37241
Venous embolization
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
37241 without 51 · national office
$4,393.22
Venous embolization
37241-51 · Second procedure: 50%
$2,196.61
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
37241 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 37242Arterial embolization
- Use 37241 for a venous target and 37242 for an arterial target when the treatment is not for hemorrhage.
- 37243Embolization
- 37243 is selected for embolization directed at a tumor or organ treatment purpose; 37241 is for a nonhemorrhagic venous target.
- 37244Vascular embolization
- Use 37244 when embolization is performed to control bleeding. Use 37241 for a nonhemorrhagic venous condition.
37241 billing questions
How is 37241 different from 37244?
37241 is for embolization of a nonhemorrhagic venous target. Use 37244 when the treatment purpose is control of hemorrhage.
Are imaging guidance and roadmapping separately reported?
The imaging guidance, roadmapping, and radiological supervision and interpretation needed to perform the embolization are included in 37241.
Should modifier 50 be appended for bilateral treatment?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does Medicare apply the multiple-procedure reduction?
For procedures performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.
What documentation supports reporting 37241?
Document the nonhemorrhagic venous indication, target vein, catheter and embolic work, and findings showing the treatment performed.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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