No office rate
Use 37700 for ligation and division without stripping. Use 37722 when the long saphenous vein is also stripped from the groin to the knee or below.
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CMS RVU26D · Effective 2026-10-01
37700 Saphenous vein ligation Medicare reimbursement rates in Michigan
Open ligation and division of the great saphenous vein treats superficial venous reflux or varicosities when the operation does not include vein stripping. Compare 37700 office and facility rates across CMS payment localities in Michigan.
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 37700 in Michigan?
Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$225.64–$247.05
2 of 2 localities have a supported rate.
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 37700: Great saphenous vein ligation and division
Open ligation and division of the great saphenous vein treats superficial venous reflux or varicosities when the operation does not include vein stripping.
This service involves operative ligation and division of the long, or great, saphenous vein, typically at its junction with the femoral vein in the groin or at a documented distal interruption. Vascular surgeons commonly perform it for symptomatic superficial venous disease, including varicosities associated with great saphenous reflux, in a surgical setting. The code represents interruption of the vein, not removal of a long segment by stripping or treatment limited to scattered tributary veins.
Choose the code from the operative report’s description of the vein, ligation site, and whether stripping or separate tributary phlebectomy was performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 37700
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.72 · 55%
- Practice expense (office) RVU2.15 · 32%
- Malpractice RVU0.95 · 14%
392
Medicare services in 2024 · #3755 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.
37700 compared with similar codes
Office rates for Michigan, from the same CMS release.
No office rate
37735 represents complete stripping of a long or short saphenous vein. It describes a more extensive stripping procedure than ligation and division alone.
$399.60–$431.40
37765 describes stab phlebectomy of varicose veins using 10–20 incisions; it addresses tributary-vein removal rather than long saphenous vein ligation.
$476.68–$515.25
37766 describes stab phlebectomy of varicose veins using more than 20 incisions. It is distinct from ligation and division of the long saphenous vein.
Compare 37700 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.
2 of 2 payment localities
Detroit →
Office / nonfacility
Unavailable
Facility
$247.05
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$225.64
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37700 billing questions
How is 37700 different from 37722?
37700 covers ligation and division without the stripping described by 37722. Use 37722 when the long saphenous vein is stripped from the groin to the knee or below.
Does 37700 include vein stripping?
No. It represents ligation and division of the long saphenous vein; an operation that includes stripping should be coded to the applicable stripping service instead.
Can tributary phlebectomy be reported with 37700?
A separately performed stab phlebectomy may be represented by 37765 or 37766, based on incision count. The operative report should distinguish tributary-vein removal from the saphenous vein ligation and division.
How should bilateral 37700 procedures be reported?
Report bilateral treatment with modifier 50. CMS pays bilateral reporting at 150%.
What documentation supports 37700?
Document the treated long or great saphenous vein, the ligation and division site or sites, and whether stripping or tributary phlebectomy was also performed.
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.
4,6853763F,,Patient is not dysarthric,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
4,68637650,,Ligation of femoral vein,A,,8.28,2.29,NA,2.29,,2.11,12.68,12.68,0,090,0.09,0.84,0.07,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,68737660,,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