$316.82
This code is for tissue sampling through a catheter, often by a transjugular route. Code 47000 describes percutaneous needle biopsy of the liver.
On this page
CMS RVU26D · Effective 2026-10-01
37200 Catheter biopsy Medicare reimbursement rates in Hawaii
Reports tissue sampling performed through a catheter, commonly a transjugular liver biopsy when a standard percutaneous approach is unsuitable. Compare 37200 office and facility rates across CMS payment localities in Hawaii.
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 37200 in Hawaii?
Hawaii 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
$181.13
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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.
Interventional radiology
About 37200: Transcatheter tissue biopsy
Reports tissue sampling performed through a catheter, commonly a transjugular liver biopsy when a standard percutaneous approach is unsuitable.
This code covers obtaining tissue with a biopsy device advanced through a catheter to the target site. A common application is transjugular liver biopsy, performed by an interventional radiologist when ascites or bleeding risk makes a standard percutaneous route unsuitable. The procedure is typically performed in a hospital or outpatient imaging suite with imaging used to guide the catheter and sampling device.
Select the code when the documented service is catheter-based tissue sampling, rather than direct needle biopsy through the skin. Record the target, vascular route, sampling performed, and relevant imaging. Radiological supervision and interpretation are represented separately by 75970 when that service is performed and documented. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 37200
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
- 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 RVU4.44 · 80%
- Practice expense (office) RVU0.62 · 11%
- Malpractice RVU0.48 · 9%
3.2K
Medicare services in 2024 · #2134 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.
37200 compared with similar codes
Office rates for Hawaii, from the same CMS release.
75970
No office rateVascular biopsy
Code 37200 reports the catheter-based biopsy procedure; 75970 represents the radiological supervision and interpretation service.
Compare 37200 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
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$181.13
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 37200 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
4,589
- Code
- 37200
- Physician work
- 4.44
- Practice expense
- 0.62
- Malpractice
- 0.48
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.44 | × 1.000 | 4.4400 |
| Practice expense | 0.62 | × 1.137 | 0.7049 |
| Malpractice | 0.48 | × 0.579 | 0.2779 |
| Total RVUs | 5.4229 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$181.13
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.44 | 1 |
| Practice expense | 0.62 | 1.137 |
| Malpractice | 0.48 | 0.579 |
(4.44 × 1 + 0.62 × 1.137 + 0.48 × 0.579) × $33.4009 = $181.13
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.
37200 billing questions
When should this code be used instead of a percutaneous liver biopsy code?
Use this code for tissue sampling performed with a catheter-based approach, such as transjugular liver biopsy. A needle passed directly through the skin is a different method and is not reported with this code.
Is radiological supervision and interpretation included?
Code 75970 represents the radiological supervision and interpretation service for transcatheter biopsy. Report it when that service is performed and documented.
Can modifier 50 be used for biopsies on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does the multiple-procedure reduction affect another procedure in the session?
When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.
Can an assistant surgeon or co-surgeon be billed?
Assistant-at-surgery payment is restricted for this code. Co-surgeons and team surgery are 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.
4,58637193,,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
4,58737195,,Thrombolytic therapy stroke,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,58837197,,Remove intrvas foreign body,A,,5.89,37.33,,0.97,,1.06,44.28,7.92,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,58937200,,Transcatheter biopsy,A,,4.44,0.62,NA,0.62,,0.48,5.54,5.54,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,5903720F,,Cognit impairment assessed,M,,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
4,59137211,,Thrombolytic art therapy,A,,7.56,1.07,NA,1.07,,1.50,10.13,10.13,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,59237212,,Thrombolytic venous therapy,A,,6.64,0.97,NA,0.97,,1.21,8.82,8.82,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014