Locality

or ZIP

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Switch every figure between Medicare dollars and work RVUs.

Conversion factor

Modifiers

37186

Sec art thrombectomy add-on

Code typeAdd-on

Paid withContractor-defined

Payment statusActive (A)

Global periodAdd-on code

Add-On Payment Increment

What 37186 adds per unit to the primary it is billed with — not a total, since this code is never payable on its own.

Line

Qty

Global fee

Pro fee

Add-on37186Sec art thrombectomy add-on

$1,157.34

$217.77

RVU Breakdown

Component

Office

Facility

Work

4.80

Practice expense

28.79

0.66

Malpractice

1.06

Total RVU

34.65

6.52

Payment Policy & Modifiers

Allowed adjustments

Bilateral -50Built in

The fee already assumes a bilateral service — modifier 50 doesn't change payment.

Co-surgeons -6262.5% each

Co-surgeons (mod 62) are paid 62.5% of the fee each (125% total, split).

Not applicable to this code

Multiple procedure Assistant surgeon Team surgeon -66Prof / tech split

In plain English

Office vs. facility

Where the service happens. In your own clinic (office), Medicare also pays you for the room, staff and supplies — so it's higher. In a hospital or ASC, the facility bills that part separately.

wRVU

Work Relative Value Units — the physician-effort share of a code. Most employment contracts pay a set dollar amount per wRVU, independent of Medicare's rate.

Add-on codes

Billed only alongside a primary code. Use the steppers to add units — extra levels, leads or sides — to the whole-procedure total.

Conversion factor

The dollars-per-RVU Medicare multiplies by. Set once, it flows through every figure on this page. The QP rate applies to clinicians who qualify as Advanced APM participants — a small annual boost.

GPCI

Geographic Practice Cost Index — adjusts the work, practice-expense and malpractice RVUs for your locality's cost of living before they're multiplied by the conversion factor.

How payment is computed

Each RVU is scaled by your locality's GPCI, summed, then multiplied by the conversion factor:

(work·wGPCI
+ PE·peGPCI
+ MP·mpGPCI) × CF

This code's Global fee

(4.80·1.000
+ 28.79·1.000
+ 1.06·1.000) × $33.40 = $1,157.34

Full methodology — how we apply CMS's rules →