No office rate
37700 describes ligation and division of the long saphenous vein without stripping. Choose 37722 when the operative service also includes stripping.
On this page
CMS RVU26D · Effective 2026-10-01
37722 Vein stripping Medicare reimbursement rates in Hawaii
Reports operative ligation and stripping of the long (great) saphenous vein for varicose veins or venous reflux, extending from the groin to the knee or below. Compare 37722 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 37722 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
$407.86
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.
Vascular surgery
About 37722: Long saphenous vein stripping
Reports operative ligation and stripping of the long (great) saphenous vein for varicose veins or venous reflux, extending from the groin to the knee or below.
A surgeon ligates the long, or great, saphenous vein near its junction with the femoral vein, then removes the vein trunk by stripping it toward the knee or below. The operation is used for selected patients with symptomatic varicose veins or venous reflux involving this superficial vein. It is typically performed by a vascular or general surgeon in an operating-room setting.
Select this code when the documented procedure includes both ligation and stripping of the long saphenous vein; simple ligation without stripping is a different service. The operative report should identify the treated vein and describe the stripping performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued is paid in full and the others at 50%. Modifier 50 for bilateral surgery is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 37722
- 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 procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.96 · 63%
- Practice expense (office) RVU2.70 · 21%
- Malpractice RVU2.04 · 16%
271
Medicare services in 2024 · #4071 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.
37722 compared with similar codes
Office rates for Hawaii, from the same CMS release.
No office rate
37718 applies to stripping the short saphenous vein; 37722 applies to the long, or great, saphenous vein.
No office rate
37735 describes a more extensive saphenous procedure that includes radical ulcer excision and skin grafting; 37722 describes stripping the long saphenous vein.
Compare 37722 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
$407.86
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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 37722 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
4,690
- Code
- 37722
- Physician work
- 7.96
- Practice expense
- 2.70
- Malpractice
- 2.04
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.96 | × 1.000 | 7.9600 |
| Practice expense | 2.70 | × 1.137 | 3.0699 |
| Malpractice | 2.04 | × 0.579 | 1.1812 |
| Total RVUs | 12.2111 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$407.86
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.96 | 1 |
| Practice expense | 2.7 | 1.137 |
| Malpractice | 2.04 | 0.579 |
(7.96 × 1 + 2.7 × 1.137 + 2.04 × 0.579) × $33.4009 = $407.86
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.
37722 billing questions
How is this different from 37700?
37722 includes stripping of the long saphenous vein as well as ligation. Use 37700 for ligation and division without stripping.
When is 37718 a better fit?
37718 is for ligation, division, and stripping of the short saphenous vein. This code concerns the long, or great, saphenous vein.
What documentation supports reporting 37722?
The operative report should identify the long saphenous vein and document ligation and stripping, including the extent of the stripping.
How does modifier 50 affect payment?
CMS treats this as a bilateral procedure when reported with modifier 50 and pays it at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is restricted. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
4,68737660,,Ligation common iliac vein,A,,21.72,9.02,NA,9.02,,5.80,36.54,36.54,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,68837700,,Ligation&div long saph vein,A,,3.72,2.15,NA,2.15,,0.95,6.82,6.82,0,090,0.09,0.84,0.07,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,68937718,,Lig div&strpg short saph vn,A,,6.95,2.15,NA,2.15,,1.76,10.86,10.86,0,090,0.09,0.84,0.07,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,69037722,,Lig div&strpg long saph vein,A,,7.96,2.70,NA,2.70,,2.04,12.70,12.70,0,090,0.09,0.84,0.07,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,69137735,,Lig&div&compl strpg saph vn,A,,10.63,2.67,NA,2.67,,2.71,16.01,16.01,0,090,0.09,0.84,0.07,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,6923775F,,Adenoma detected 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
4,69337760,,Lig prfratr vn radical 1 leg,A,,10.51,2.66,NA,2.66,,2.68,15.85,15.85,0,090,0.09,0.84,0.07,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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