$6,376.09
Use 37241 for a venous target and 37242 for an arterial target when the treatment is not for hemorrhage.
On this page
CMS RVU26D · Effective 2026-10-01
37241 Venous embolization Medicare reimbursement rates in Wisconsin
Report 37241 for catheter-based embolization of a nonhemorrhagic venous target, including venous malformations, varicocele-related reflux, or pelvic venous reflux. Compare 37241 office and facility rates across CMS payment localities in Wisconsin.
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 37241 in Wisconsin?
Wisconsin 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
$4193.10
1 of 1 localities have a supported rate.
Payment area: Wisconsin
One mapped payment locality.
Facility setting
$339.89
1 of 1 localities have a supported rate.
Payment area: Wisconsin
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 37241: Venous embolization or occlusion
Report 37241 for catheter-based embolization of a nonhemorrhagic venous target, including venous malformations, varicocele-related reflux, or pelvic venous reflux.
Code 37241 reports catheter-directed closure or embolization of a vein for a nonhemorrhagic problem, such as a symptomatic varicocele, pelvic venous reflux, or a congenital or acquired venous malformation. An interventional radiologist or vascular specialist may deliver coils, plugs, or a sclerosant through a catheter under imaging in an angiography suite or another procedural setting. The target is venous; code selection does not depend on a particular embolic material.
Select this code by the treated venous condition; use the arterial, organ or tumor, or hemorrhage code when that is the treatment purpose. The embolization service includes the imaging guidance, roadmapping, and radiological supervision and interpretation needed to perform it. Document the target vein, indication, access and catheter work, embolic method, and completion findings. The 0-day global period includes same-day preoperative and postoperative care. For multiple procedures in one 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, and co-surgeon and team-surgery reporting are not permitted.
CMS billing rules for 37241
- 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 RVU8.53 · 6%
- Practice expense (office) RVU121.73 · 93%
- Malpractice RVU1.27 · 1%
1.5K
Medicare services in 2024 · #2673 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.
37241 compared with similar codes
Office rates for Wisconsin, from the same CMS release.
$7,647.21
37243 is selected for embolization directed at a tumor or organ treatment purpose; 37241 is for a nonhemorrhagic venous target.
$5,836.12
Use 37244 when embolization is performed to control bleeding. Use 37241 for a nonhemorrhagic venous condition.
Compare 37241 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
Wisconsin →
Office / nonfacility
$4193.10
Facility
$339.89
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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 37241 in Wisconsin.
PPRRVU2026_Oct_nonQPP.csv
4,603
- Code
- 37241
- Physician work
- 8.53
- Practice expense
- 121.73
- Malpractice
- 1.27
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.53 | × 1.000 | 8.5300 |
| Practice expense | 121.73 | × 0.958 | 116.6173 |
| Malpractice | 1.27 | × 0.308 | 0.3912 |
| Total RVUs | 125.5385 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wisconsin$4193.10
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.53 | 1 |
| Practice expense | 121.73 | 0.958 |
| Malpractice | 1.27 | 0.308 |
(8.53 × 1 + 121.73 × 0.958 + 1.27 × 0.308) × $33.4009 = $4193.10
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.53 | 1 |
| Practice expense | 1.31 | 0.958 |
| Malpractice | 1.27 | 0.308 |
(8.53 × 1 + 1.31 × 0.958 + 1.27 × 0.308) × $33.4009 = $339.89
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.
37241 billing questions
How is 37241 different from 37244?
37241 is for embolization of a nonhemorrhagic venous target. Use 37244 when the treatment purpose is control of hemorrhage.
Are imaging guidance and roadmapping separately reported?
The imaging guidance, roadmapping, and radiological supervision and interpretation needed to perform the embolization are included in 37241.
Should modifier 50 be appended for bilateral treatment?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does Medicare apply the multiple-procedure reduction?
For procedures performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.
What documentation supports reporting 37241?
Document the nonhemorrhagic venous indication, target vein, catheter and embolic work, and findings showing the treatment 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.
4,60037237,,Open/perq place stent ea add,A,,4.14,31.27,,0.48,,1.00,36.41,5.62,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,60137238,,Open/perq place stent same,A,,5.89,90.91,,0.98,,1.24,98.04,8.11,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,60237239,,Open/perq place stent ea add,A,,2.90,46.20,,0.45,,0.59,49.69,3.94,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,60337241,,Vasc embolize/occlude venous,A,,8.53,121.73,,1.31,,1.27,131.53,11.11,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,60437242,,Vasc embolize/occlude artery,A,,9.56,188.81,,1.34,,1.48,199.85,12.38,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,60537243,,Vasc embolize/occlude organ,A,,11.45,226.62,,1.69,,1.30,239.37,14.44,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,60637244,,Vasc embolize/occlude bleed,A,,13.41,167.90,,2.01,,1.53,182.84,16.95,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,