No office rate
37788 reconstructs penile arterial inflow; 37790 is an operation on penile veins to address venous outflow.
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CMS RVU26D · Effective 2026-10-01
37788 Penile revascularization Medicare reimbursement rates in Georgia
Open penile arterial revascularization restores arterial inflow in selected patients with erectile dysfunction caused by focal penile arterial insufficiency. Compare 37788 office and facility rates across CMS payment localities in Georgia.
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 37788 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1115.77–$1152.19
2 of 2 localities have a supported rate.
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 37788: Open penile arterial revascularization
Open penile arterial revascularization restores arterial inflow in selected patients with erectile dysfunction caused by focal penile arterial insufficiency.
This operation surgically increases blood supply to the penis by reconstructing arterial inflow, generally through an arterial bypass or microsurgical connection. Urologists and surgeons experienced in penile microvascular surgery perform it in an operating room for selected patients with erectile dysfunction attributable to focal arterial injury or obstruction, such as after pelvic or perineal trauma, rather than diffuse vascular disease. The operative approach and vessels used depend on anatomy and findings.
Report this code for open arterial reconstruction, not penile venous occlusion or prosthesis insertion. The operative report should identify the indication, arterial problem, vessels reconstructed, technique, and work performed; erectile dysfunction alone does not establish that this operation was performed. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. When procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 37788
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU22.75 · 67%
- Practice expense (office) RVU8.03 · 24%
- Malpractice RVU2.93 · 9%
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.
37788 compared with similar codes
Office rates for Georgia, from the same CMS release.
No office rate
37788 reconstructs arterial blood supply, while 54405 places an inflatable penile prosthesis for erectile dysfunction.
37799
No office rateUnlisted px vascular surgery
Use 37788 when the service is the specified open penile arterial revascularization; 37799 is for a vascular procedure without a specific listed code.
Compare 37788 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
Unavailable
Facility
$1152.19
Rest Of Georgia →
Office / nonfacility
Unavailable
Facility
$1115.77
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37788 billing questions
When should 37788 be chosen instead of 37790?
Use 37788 for open reconstruction of penile arterial inflow. Code 37790 describes penile venous occlusion, a different operation directed at venous outflow.
Is modifier 50 appropriate for bilateral reporting?
No. CMS identifies bilateral adjustment as inappropriate for this code, so do not append modifier 50 to indicate bilateral work.
What postoperative care is included in the global period?
The 90-day major-surgery global includes the day-before preoperative visit and 90 days of related postoperative care.
What documentation supports reporting 37788?
The operative report should show the focal arterial problem and describe the open reconstruction, including the vessels and technique. A diagnosis of erectile dysfunction by itself does not establish that revascularization was performed.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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.
4,6973776F,,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
4,70338100,,Removal of spleen total,A,,19.06,8.29,NA,8.29,,4.80,32.15,32.15,0,090,0.11,0.73,0.16,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00