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CMS RVU26D · Effective 2026-10-01

37213 Thrombolytic infusion Medicare reimbursement rates in Minnesota

Reports the second treatment day of catheter-directed thrombolysis when an arterial or venous infusion continues under interventional management. Compare 37213 office and facility rates across CMS payment localities in Minnesota.

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 37213 in Minnesota?

Minnesota 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

$182.98

1 of 1 localities have a supported rate.

Payment area: Minnesota

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 37213 in your payment locality →

Vascular intervention

About 37213: Continued catheter-directed thrombolysis

Reports the second treatment day of catheter-directed thrombolysis when an arterial or venous infusion continues under interventional management.

This code describes continued catheter-directed thrombolytic treatment on the second day, after an initial treatment day. The interventional radiologist, vascular surgeon, or another qualified physician manages the ongoing infusion and may exchange the treatment catheter. The service includes the associated fluoroscopic guidance and imaging supervision and interpretation. It is typically performed in a hospital setting for an occluded artery or vein being treated with infused thrombolytic medication.

Report 37213 for the second treatment day, regardless of whether the treated vessel is arterial or venous; the initial-day code distinguishes those vessel types. Documentation should establish the treatment sequence and date, the continuing infusion, and catheter and imaging management. The CMS global period is 0 days, so same-day preoperative and postoperative care is included. 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 is restricted, and co-surgeons and team surgery are not permitted.

CMS billing rules for 37213

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
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 RVU4.63 · 76%
  • Practice expense (office) RVU0.58 · 10%
  • Malpractice RVU0.85 · 14%

833

Medicare services in 2024 · #3114 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.

37213 compared with similar codes

Office rates for Minnesota, from the same CMS release.

37211

Arterial thrombolysis

Noncoronary artery

No office rate

Use 37211 for the initial treatment day when the infusion treats an artery. Use 37213 for continued treatment on the second day.

37212

Venous thrombolysis

Initial treatment day

No office rate

Use 37212 for the initial treatment day when the infusion treats a vein. Use 37213 for continued treatment on the second day.

37214

Thrombolysis

Cessation and catheter removal

No office rate

Use 37214 for the day thrombolytic infusion is stopped and the catheter is removed; 37213 represents continued treatment on the second day.

Compare 37213 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

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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 37213 in Minnesota.

PPRRVU2026_Oct_nonQPP.csv

4,593

Code
37213
Physician work
4.63
Practice expense
0.58
Malpractice
0.85

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Facility calculation for 37213 in Minnesota
ComponentRVULocality factorAdjusted
Physician work4.63× 1.0004.6300
Practice expense0.58× 1.0290.5968
Malpractice0.85× 0.2960.2516
Total RVUs5.4784
Conversion factor× 33.4009

Facility rate, Minnesota$182.98

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.631
Practice expense0.581.029
Malpractice0.850.296

(4.63 × 1 + 0.58 × 1.029 + 0.85 × 0.296) × $33.4009 = $182.98

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.

37213 billing questions

How does 37213 differ from 37211 and 37212?

37213 is for the second treatment day, while 37211 and 37212 describe initial-day treatment. The initial-day code distinguishes arterial from venous infusion; 37213 covers continued treatment for either.

Is catheter exchange separately reported with 37213?

Catheter exchange is included in the continued-treatment service. Fluoroscopic guidance and the related imaging supervision and interpretation are also included.

Can 37213 be reported for each catheter or treated vessel?

The code represents the second treatment day, not a separate charge for each catheter or vessel. Documentation should support that thrombolytic infusion continued on that day.

Should modifier 50 be used for bilateral treatment?

No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.

Can an assistant or co-surgeon be paid for this service?

CMS restricts assistant-at-surgery payment for 37213. Co-surgeons and team surgery are 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.

RVUs for 37213PPRRVU2026_Oct_nonQPP.csv, line 4,593 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)