Billing code 37722: Vein strippingMedicare rate & RVUs in Nevada
Reports operative ligation and stripping of the long (great) saphenous vein for varicose veins or venous reflux, extending from the groin to the knee or below.
CMS doesn’t publish an office rate for 37722 in Nevada.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 37722 covers
A surgeon ligates the long, or great, saphenous vein near its junction with the femoral vein, then removes the vein trunk by stripping it toward the knee or below. The operation is used for selected patients with symptomatic varicose veins or venous reflux involving this superficial vein. It is typically performed by a vascular or general surgeon in an operating-room setting.
Select this code when the documented procedure includes both ligation and stripping of the long saphenous vein; simple ligation without stripping is a different service. The operative report should identify the treated vein and describe the stripping performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued is paid in full and the others at 50%. Modifier 50 for bilateral surgery is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons require supporting documentation, and team surgery is not permitted.
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.
37722 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $412.90 |
How the 37722 rate is calculated
Each of 37722’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 37722
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 7.96Practice expense 2.70Malpractice 2.04
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 37722
37722 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 37722
Vein stripping
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 37722
Vein stripping
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
37722 without 50 · national facility
$424.19
Vein stripping
37722-50 · Bilateral: 150%
$636.29
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
37722 compared with similar codes
Compare codes
37722 vs 37700 vs 37718 vs 37735: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 37700Saphenous vein ligation
- 37700 describes ligation and division of the long saphenous vein without stripping. Choose 37722 when the operative service also includes stripping.
- 37718Vein stripping
- 37718 applies to stripping the short saphenous vein; 37722 applies to the long, or great, saphenous vein.
- 37735Vein stripping
- 37735 describes a more extensive saphenous procedure that includes radical ulcer excision and skin grafting; 37722 describes stripping the long saphenous vein.
37722 billing questions
How is this different from 37700?
37722 includes stripping of the long saphenous vein as well as ligation. Use 37700 for ligation and division without stripping.
When is 37718 a better fit?
37718 is for ligation, division, and stripping of the short saphenous vein. This code concerns the long, or great, saphenous vein.
What documentation supports reporting 37722?
The operative report should identify the long saphenous vein and document ligation and stripping, including the extent of the stripping.
How does modifier 50 affect payment?
CMS treats this as a bilateral procedure when reported with modifier 50 and pays it at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is restricted. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.
What postoperative care is included?
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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