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CMS RVU26D · Effective 2026-10-01

37565 Vein ligation Medicare reimbursement rates in Idaho

Reports surgical ligation of an internal jugular vein, such as for bleeding control or intentional vein sacrifice during a neck operation. Compare 37565 office and facility rates across CMS payment localities in Idaho.

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 37565 in Idaho?

Idaho 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

$593.58

1 of 1 localities have a supported rate.

Payment area: Idaho

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.

Find 37565 in your payment locality →

Vascular surgery

About 37565: Internal jugular vein ligation

Reports surgical ligation of an internal jugular vein, such as for bleeding control or intentional vein sacrifice during a neck operation.

The surgeon ties off an internal jugular vein in the neck. The service may be performed to control bleeding or to intentionally sacrifice the vein during neck surgery. It is an operative vascular procedure, generally performed by a surgeon in a hospital or other surgical setting; it is not a code for routine venous access or catheter management.

Select the code when the documented operation includes ligation of the internal jugular vein, and record the side, indication, and operative work. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery and co-surgeon payment require supporting documentation; team surgery is not permitted.

CMS billing rules for 37565

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
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU11.75 · 60%
  • Practice expense (office) RVU5.27 · 27%
  • Malpractice RVU2.48 · 13%

99

Medicare services in 2024 · #4890 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.

37565 compared with similar codes

Office rates for Idaho, from the same CMS release.

35201

Vessel repair

Direct repair, neck

No office rate

Use 35201 for direct repair of a blood vessel in the neck; use 37565 when the internal jugular vein is surgically ligated.

38720

Neck node removal

Complete cervical dissection

No office rate

Use 38720 for a radical neck dissection when internal jugular vein removal is part of the broader procedure, rather than separately reporting an included ligation.

38724

Neck dissection

Modified radical

No office rate

Use 38724 for a modified radical neck dissection, a broader lymph-node operation; 37565 describes ligation of the internal jugular vein itself.

Compare 37565 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

Office and facility base rates · shared scale starting at $0

  • Idaho →

    Office / nonfacility

    Unavailable

    Facility

    $593.58

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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 37565 in Idaho.

PPRRVU2026_Oct_nonQPP.csv

4,667

Code
37565
Physician work
11.75
Practice expense
5.27
Malpractice
2.48

GPCI2026.csv

47

Locality
Idaho
Physician work
1.000
Practice expense
0.920
Malpractice
0.473
Facility calculation for 37565 in Idaho
ComponentRVULocality factorAdjusted
Physician work11.75× 1.00011.7500
Practice expense5.27× 0.9204.8484
Malpractice2.48× 0.4731.1730
Total RVUs17.7714
Conversion factor× 33.4009

Facility rate, Idaho$593.58

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work11.751
Practice expense5.270.92
Malpractice2.480.473

(11.75 × 1 + 5.27 × 0.92 + 2.48 × 0.473) × $33.4009 = $593.58

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.

37565 billing questions

When is this code appropriate instead of a neck dissection code?

Use it for a separately performed internal jugular vein ligation. If vein sacrifice is part of a radical neck dissection, report the dissection service rather than separately coding an included step.

Can the ligation be reported with a neck dissection?

Do not separately report ligation when it is integral to the documented neck dissection. The operative report should establish whether a distinct ligation service was performed.

How is bilateral ligation reported?

For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%.

What documentation supports assistant or co-surgeon payment?

Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon payment requires supporting documentation, and 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.

RVUs for 37565PPRRVU2026_Oct_nonQPP.csv, line 4,667 (RVU26D)
Geographic factors for IdahoGPCI2026.csv, line 47 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet