No office rate
Use 37790 for surgery that occludes penile venous drainage; 37788 describes penile revascularization to address arterial inflow.
On this page
CMS RVU26D · Effective 2026-10-01
37790 Penile vein surgery Medicare reimbursement rates in Wyoming
Surgical closure of penile venous drainage is reported for selected erectile dysfunction cases in which venous outflow contributes to inadequate erection. Compare 37790 office and facility rates across CMS payment localities in Wyoming.
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 37790 in Wyoming?
Wyoming 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
$432.94
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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.
Urology surgery
About 37790: Penile venous outflow occlusion
Surgical closure of penile venous drainage is reported for selected erectile dysfunction cases in which venous outflow contributes to inadequate erection.
This code represents surgery to obstruct penile venous drainage, commonly by ligating the deep dorsal vein, for selected erectile dysfunction attributed to excessive venous outflow. A urologist typically performs the operation in a surgical setting after evaluation identifies a venous cause; it is distinct from procedures that improve arterial inflow or implant a prosthesis.
Report the service for the operative venous-occlusion procedure, with documentation supporting the venous diagnosis and describing the operative site and technique. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When other procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 37790
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.22 · 62%
- Practice expense (office) RVU3.95 · 30%
- Malpractice RVU1.07 · 8%
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.
37790 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
Use 54400 for insertion of a non-inflatable penile prosthesis, not for surgery that obstructs venous outflow.
37799
No office rateUnlisted px vascular surgery
37799 is an unlisted vascular surgery code. Use the specific 37790 code when the documented operation is penile venous occlusion.
Compare 37790 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$432.94
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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 37790 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
4,701
- Code
- 37790
- Physician work
- 8.22
- Practice expense
- 3.95
- Malpractice
- 1.07
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.22 | × 1.000 | 8.2200 |
| Practice expense | 3.95 | × 1.000 | 3.9500 |
| Malpractice | 1.07 | × 0.740 | 0.7918 |
| Total RVUs | 12.9618 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$432.94
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.22 | 1 |
| Practice expense | 3.95 | 1 |
| Malpractice | 1.07 | 0.74 |
(8.22 × 1 + 3.95 × 1 + 1.07 × 0.74) × $33.4009 = $432.94
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.
37790 billing questions
How is this different from penile revascularization?
This procedure obstructs venous drainage for erectile dysfunction attributed to venous outflow. Penile revascularization addresses arterial blood supply instead.
Does the 90-day global period include postoperative visits?
Related postoperative care during the 90 days is included, along with the day-before preoperative visit.
Can modifier 50 be used?
No. CMS identifies bilateral adjustment as inappropriate for this code.
When may an assistant-at-surgery be paid?
Only when the claim is supported by documentation of medical necessity. Co-surgeons and team surgery are not permitted.
What should the operative note establish?
Document the venous basis for the procedure and the penile venous site and technique treated. This supports distinguishing venous occlusion from arterial revascularization or prosthesis surgery.
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.
4,69837780,,Revision of leg vein,A,,3.83,1.79,NA,1.79,,0.99,6.61,6.61,0,090,0.09,0.84,0.07,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,69937785,,Ligate/divide/excise vein,A,,3.83,5.33,,2.22,,0.96,10.12,7.01,0,090,0.09,0.84,0.07,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,70037788,,Revascularization penis,A,,22.75,8.03,NA,8.03,,2.93,33.71,33.71,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,70137790,,Penile venous occlusion,A,,8.22,3.95,NA,3.95,,1.07,13.24,13.24,0,090,0.08,0.83,0.09,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,70237799,,Unlisted px vascular surgery,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4,70338100,,Removal of spleen total,A,,19.06,8.29,NA,8.29,,4.80,32.15,32.15,0,090,0.11,0.73,0.16,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,70438101,,Removal of spleen partial,A,,19.06,8.39,NA,8.39,,5.08,32.53,32.53,0,090,0.11,0.73,0.16,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,