No office rate
Use 37615 when the major artery being ligated is in the neck. Use 37617 for an abdominal artery.
On this page
CMS RVU26D · Effective 2026-10-01
37617 Arterial ligation Medicare reimbursement rates in Kansas
Reports operative ligation of a major artery in the abdomen, commonly to control hemorrhage related to arterial trauma or rupture. Compare 37617 office and facility rates across CMS payment localities in Kansas.
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 37617 in Kansas?
Kansas 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
$1089.85
1 of 1 localities have a supported rate.
Payment area: Kansas
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 37617: Major abdominal artery ligation
Reports operative ligation of a major artery in the abdomen, commonly to control hemorrhage related to arterial trauma or rupture.
A surgeon exposes and ties off a major artery in the abdomen, commonly to control bleeding from traumatic arterial injury or rupture. The service is typically performed by a vascular or general surgeon in an operating room, often during urgent surgery. The operative work centers on the abdominal artery; ligation of a major artery in the neck, chest, or an extremity belongs to a different anatomic code in this family.
Select this code when the documented procedure ligates a major artery in the abdomen, and record the artery, abdominal location, and clinical reason for ligation. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same 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 may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 37617
- 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 RVU23.20 · 64%
- Practice expense (office) RVU7.37 · 20%
- Malpractice RVU5.49 · 15%
511
Medicare services in 2024 · #3548 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.
37617 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
Use 37616 for ligation of a major artery in the chest; 37617 is for an abdominal artery.
No office rate
Use 37618 when the ligated major artery is in an extremity, rather than the abdomen.
No office rate
37619 describes ligation of the inferior vena cava, a vein. This code is for ligation of a major abdominal artery.
Compare 37617 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
Kansas →
Office / nonfacility
Unavailable
Facility
$1089.85
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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 37617 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
4,680
- Code
- 37617
- Physician work
- 23.20
- Practice expense
- 7.37
- Malpractice
- 5.49
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 23.20 | × 1.000 | 23.2000 |
| Practice expense | 7.37 | × 0.904 | 6.6625 |
| Malpractice | 5.49 | × 0.504 | 2.7670 |
| Total RVUs | 32.6294 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$1089.85
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 23.2 | 1 |
| Practice expense | 7.37 | 0.904 |
| Malpractice | 5.49 | 0.504 |
(23.2 × 1 + 7.37 × 0.904 + 5.49 × 0.504) × $33.4009 = $1089.85
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.
37617 billing questions
How is 37617 distinguished from the other major-artery ligation codes?
Choose by the anatomical location of the artery being ligated. This code is for an abdominal artery; the family has separate codes for the neck, chest, and extremity.
Should modifier 50 be appended for ligation of paired abdominal arteries?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does the multiple-procedure rule affect payment?
When procedures are performed in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard 50% reduction.
Are assistant or co-surgeon services payable?
Assistant-at-surgery payment may be made. Co-surgeons are payable only with supporting documentation; team surgery is not permitted.
Which postoperative services are included in the global period?
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.
4,6773760F,,Pt w/dysphag/wt loss/nutr,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
4,67837615,,Ligation major artery neck,A,,7.61,4.81,NA,4.81,,1.43,13.85,13.85,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,67937616,,Ligation major artery chest,A,,18.50,9.00,NA,9.00,,4.56,32.06,32.06,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,68037617,,Ligation major artery abd,A,,23.20,7.37,NA,7.37,,5.49,36.06,36.06,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,68137618,,Ligation major artery xtr,A,,5.88,3.76,NA,3.76,,1.42,11.06,11.06,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,68237619,,Ligation of inf vena cava,A,,29.25,10.30,NA,10.30,,7.84,47.39,47.39,0,090,0.09,0.84,0.07,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,6833761F,,Pt w/o dysphag/wt loss/nutr,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
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958