Billing code 37214: ThrombolysisMedicare rate & RVUs in Texas
Report this service when catheter-directed arterial or venous thrombolytic treatment ends, including removal of the infusion catheter and vessel closure.
CMS doesn’t publish an office rate for 37214 in Texas.
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 37214 covers
This service represents the end of catheter-directed thrombolytic treatment in an artery or vein, including removing the treatment catheter and closing the vessel access by an appropriate method. It is typically performed by an interventional radiologist or vascular specialist treating an acute clot, such as an arterial or venous thrombosis, with an infusion catheter. The work occurs when the thrombolytic course is stopped, rather than when infusion is started or continued.
Report the cessation service for the treatment-ending encounter, supported by documentation of the treated vessel, thrombolytic course, decision to stop therapy, catheter removal, and access closure. 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 the others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are 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.
Where 37214 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Unavailable | $106.19 |
| Beaumont | Unavailable | $105.17 |
| Brazoria | Unavailable | $104.32 |
| Dallas | Unavailable | $105.68 |
| Fort Worth | Unavailable | $105.78 |
| Galveston | Unavailable | $105.09 |
| Houston | Unavailable | $113.70 |
| Rest Of Texas | Unavailable | $105.17 |
How the 37214 rate is calculated
Each of 37214’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 · 37214
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.43Practice expense 0.31Malpractice 0.47
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 37214
The CMS indicators that decide how 37214 is paid alongside other services.
CMS payment indicators · 37214
Thrombolysis
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
37214 without 51 · national facility
$107.22
Thrombolysis
37214-51 · Second procedure: 50%
$53.61
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
37214 compared with similar codes
Compare codes
37214 vs 37211 vs 37212 vs 37213: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 37211Arterial thrombolysis
- 37211 is for the initial day of arterial thrombolytic infusion; 37214 is for stopping treatment and removing the catheter.
- 37212Venous thrombolysis
- 37212 is for the initial day of venous thrombolytic infusion; 37214 reports cessation and catheter removal.
- 37213Thrombolytic infusion
- 37213 describes a subsequent day when thrombolytic infusion continues. Use 37214 when the course ends and the catheter is removed.
37214 billing questions
When should 37214 be reported instead of 37213?
Report 37214 when thrombolytic treatment is stopped and the catheter is removed with vessel closure. Code 37213 represents a subsequent day of continued thrombolytic infusion.
Is 37214 for arterial or venous treatment?
It applies to cessation of catheter-directed thrombolysis in either an artery or a vein.
Can 37214 be reported with the initial treatment code?
The code represents the treatment-ending service, not initiation of infusion. The record should distinguish the cessation encounter from the initial treatment day.
What documentation supports reporting 37214?
Document the treated vessel, the thrombolytic course and decision to stop it, and catheter removal and vessel closure.
Can an assistant or co-surgeon be billed for 37214?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
How does Medicare handle other procedures in the same session?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard 50% multiple-procedure reduction.
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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