No office rate
Both address perforator veins beneath the fascia, but 37760 is the radical, extensive operation; 37761 describes open perforator ligation without that radical extent.
On this page
CMS RVU26D · Effective 2026-10-01
37760 Perforator ligation Medicare reimbursement rates in Indiana
Open radical subfascial ligation of incompetent perforator veins in one leg, typically for advanced venous disease with ulceration or skin changes. Compare 37760 office and facility rates across CMS payment localities in Indiana.
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 37760 in Indiana?
Indiana 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
$476.91
1 of 1 localities have a supported rate.
Payment area: Indiana
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 37760: Radical subfascial perforator vein ligation
Open radical subfascial ligation of incompetent perforator veins in one leg, typically for advanced venous disease with ulceration or skin changes.
This code describes an extensive open operation that reaches beneath the leg’s fascia to interrupt incompetent perforator veins connecting the superficial and deep venous systems. Vascular surgeons typically perform it for advanced chronic venous insufficiency, including disease associated with venous skin changes or ulceration. Skin grafting, when performed as part of the operation, is included.
Report the code for the radical subfascial procedure on one leg, not for limited open perforator ligation or superficial varicose-vein removal. The operative report should support the treated leg, subfascial approach, and extent of perforator-vein work. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 for bilateral surgery is paid at 150%. Assistant-at-surgery services are not paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 37760
- 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 RVU10.51 · 66%
- Practice expense (office) RVU2.66 · 17%
- Malpractice RVU2.68 · 17%
31
Medicare services in 2024 · #5644 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.
37760 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
37722 treats the long saphenous trunk by ligation and stripping. Choose 37760 when the operation targets incompetent perforator veins beneath the fascia.
$379.29
37765 is for removal of superficial varicose veins through 10–20 small incisions. It does not describe radical subfascial perforator ligation.
Compare 37760 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
Indiana →
Office / nonfacility
Unavailable
Facility
$476.91
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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 37760 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
4,693
- Code
- 37760
- Physician work
- 10.51
- Practice expense
- 2.66
- Malpractice
- 2.68
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.51 | × 1.000 | 10.5100 |
| Practice expense | 2.66 | × 0.927 | 2.4658 |
| Malpractice | 2.68 | × 0.486 | 1.3025 |
| Total RVUs | 14.2783 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$476.91
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.51 | 1 |
| Practice expense | 2.66 | 0.927 |
| Malpractice | 2.68 | 0.486 |
(10.51 × 1 + 2.66 × 0.927 + 2.68 × 0.486) × $33.4009 = $476.91
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.
37760 billing questions
How does 37760 differ from 37761?
37760 is the radical, extensive subfascial operation. Use 37761 for open subfascial perforator ligation that does not meet the radical-procedure description.
Is skin grafting separately reported with 37760?
Skin grafting performed as part of this operation is included in 37760.
What documentation supports 37760?
Document the leg treated, the open subfascial approach, and the extent of perforator-vein ligation. The operative note should support why the service was the radical procedure rather than a more limited perforator ligation.
How is bilateral 37760 reported?
For bilateral surgery, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant surgeon or co-surgeon be billed?
Assistant-at-surgery services are not paid for this code. Co-surgeons are paid only when supporting documentation is provided; 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.
4,69037722,,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
4,69437761,,Ligate leg veins open,A,,8.90,3.48,NA,3.48,,2.22,14.60,14.60,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,69537765,,Stab phleb veins xtr 10-20,A,,4.68,6.63,,1.58,,1.09,12.40,7.35,0,010,0.10,0.80,0.10,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,69637766,,Phleb veins - extrem 20+,A,,5.85,7.53,,1.81,,1.37,14.75,9.03,0,010,0.10,0.80,0.10,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915