$1,265.78
37187 covers the initial mechanical treatment. 37188 is for repeat treatment of the same vein or veins.
On this page
CMS RVU26D · Effective 2026-10-01
37187 Venous thrombectomy Medicare reimbursement rates in Nebraska
Reports catheter-based mechanical removal of venous thrombus with fluoroscopic guidance, including any intraprocedural thrombolytic injections, for initial treatment. Compare 37187 office and facility rates across CMS payment localities in Nebraska.
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 37187 in Nebraska?
Nebraska 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
$1472.69
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
$314.75
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 intervention
About 37187: Percutaneous venous mechanical thrombectomy
Reports catheter-based mechanical removal of venous thrombus with fluoroscopic guidance, including any intraprocedural thrombolytic injections, for initial treatment.
This service uses a percutaneous catheter technique to mechanically remove clot from one or more veins. Fluoroscopic guidance and any thrombolytic medication injected during the procedure are included. Interventional radiologists, vascular surgeons, and other physicians trained in endovascular procedures commonly perform it in a hospital or ambulatory procedural setting for conditions such as acute deep vein thrombosis involving the iliac or femoral veins.
Report 37187 for the initial mechanical treatment; 37188 is used for repeat treatment of the same vein or veins. The procedure note should identify the treated veins, document the thrombus and treatment performed, and distinguish the initial treatment from any repeat treatment. The code has a 0-day global period, 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. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons are permitted, but team surgery is not.
CMS billing rules for 37187
- 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 procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.59 · 16%
- Practice expense (office) RVU39.01 · 81%
- Malpractice RVU1.31 · 3%
8.4K
Medicare services in 2024 · #1570 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.
37187 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$1,498.98
37184 is for mechanical thrombectomy in an artery. Use 37187 when the treated vessel is a vein.
No office rate
37212 describes catheter-directed thrombolytic infusion for venous thrombosis; 37187 reports mechanical removal of venous clot.
Compare 37187 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
Nebraska →
Office / nonfacility
$1472.69
Facility
$314.75
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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 37187 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
4,582
- Code
- 37187
- Physician work
- 7.59
- Practice expense
- 39.01
- Malpractice
- 1.31
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.59 | × 1.000 | 7.5900 |
| Practice expense | 39.01 | × 0.923 | 36.0062 |
| Malpractice | 1.31 | × 0.378 | 0.4952 |
| Total RVUs | 44.0914 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$1472.69
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.59 | 1 |
| Practice expense | 39.01 | 0.923 |
| Malpractice | 1.31 | 0.378 |
(7.59 × 1 + 39.01 × 0.923 + 1.31 × 0.378) × $33.4009 = $1472.69
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.59 | 1 |
| Practice expense | 1.45 | 0.923 |
| Malpractice | 1.31 | 0.378 |
(7.59 × 1 + 1.45 × 0.923 + 1.31 × 0.378) × $33.4009 = $314.75
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.
37187 billing questions
When should 37187 be reported instead of 37188?
Use 37187 for the initial mechanical treatment of the vein or veins. Use 37188 for repeat treatment of the same vein or veins.
Does 37187 include intraprocedural thrombolytic injections and fluoroscopic guidance?
Yes. Both are included in the service when performed as part of the mechanical thrombectomy.
Is 37187 reported for arterial thrombectomy?
No. It is for venous mechanical thrombectomy; 37184 describes initial mechanical thrombectomy in an artery.
How does the multiple-procedure reduction affect 37187?
When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and reduces the other procedures by 50%.
Can 37187 be reported bilaterally?
The CMS bilateral rule specifies modifier 50, with payment at 150% for a bilateral procedure.
Does Medicare pay an assistant surgeon for 37187?
No. The CMS facts specify a statutory restriction on assistant-at-surgery payment. Co-surgeons are permitted, while team surgery is not.
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.
4,57937184,,Prim art m-thrmbc 1st vsl,A,,8.20,39.12,,1.56,,1.51,48.83,11.27,0,000,0.00,0.00,0.00,2,1,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,58037185,,Prim art m-thrmbc sbsq vsl,A,,3.20,9.95,,0.44,,0.59,13.74,4.23,0,ZZZ,0.00,0.00,0.00,0,2,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,58137186,,Sec art thrombectomy add-on,A,,4.80,28.79,,0.66,,1.06,34.65,6.52,0,ZZZ,0.00,0.00,0.00,0,2,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,58237187,,Venous mech thrombectomy,A,,7.59,39.01,,1.45,,1.31,47.91,10.35,0,000,0.00,0.00,0.00,2,1,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,58337188,,Ven mechnl thrmbc repeat tx,A,,5.32,34.86,,1.12,,1.06,41.24,7.50,0,000,0.00,0.00,0.00,0,1,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,58437191,,Ins endovas vena cava filtr,A,,4.35,51.45,,0.73,,0.64,56.44,5.72,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,58537192,,Redo endovas vena cava filtr,A,,6.92,27.14,,0.64,,1.76,35.82,9.32,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068