37186 Sec art thrombectomy add-on
What 37186 is
CMS fee schedule short descriptor: Sec art thrombectomy add-on.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 37186 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 4.80 | 28.79 | 1.06 | 34.65 | $1,157.34 |
| Facility (hospital, ASC) | 4.80 | 0.66 | 1.06 | 6.52 | $217.77 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Add-on code: global period of the primary procedure applies.
Medically Unlikely Edit (MUE)
Medicare caps 37186 at 2 units per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Clinical: Data. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 37186? These codes are bundled into it
37186 is a Column 1 code in 84 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
01924 | Anes ther ivntl rad artl nos | 0 - no modifier bypass | Check pair |
01925 | Anes ivntl rad artl crtd/c | 0 - no modifier bypass | Check pair |
01926 | Anes ivntl rad icr icar/aort | 0 - no modifier bypass | Check pair |
0213T | Njx paravert w/us cer/thor | 1 - modifier may bypass | Check pair |
0216T | Njx paravert w/us lumb/sac | 1 - modifier may bypass | Check pair |
0708T | Id ca immntx prep & 1st njx | 1 - modifier may bypass | Check pair |
0709T | Id ca immntx each addl njx | 1 - modifier may bypass | Check pair |
0903T | Ecg alg 12 lead reduced i&r | 1 - modifier may bypass | Check pair |
0904T | Ecg alg 12 ld rdcd trcg only | 1 - modifier may bypass | Check pair |
0905T | Ecg alg 12 ld rdcd i&r only | 1 - modifier may bypass | Check pair |
11000 | Dbrdmt ecz/infected skin<10% | 1 - modifier may bypass | Check pair |
11001 | Dbrdmt ecz/infct skn ea addl | 1 - modifier may bypass | Check pair |
11004 | Dbrdmt skin xtrnl gent&per | 1 - modifier may bypass | Check pair |
11005 | Dbrdmt skin abdominal wall | 1 - modifier may bypass | Check pair |
11006 | Dbrdmt skin xtrnl gent per | 1 - modifier may bypass | Check pair |
11042 | Dbrdmt subq tis 1st 20sqcm/< | 1 - modifier may bypass | Check pair |
11043 | Dbrdmt musc&/fsca 1st 20/< | 1 - modifier may bypass | Check pair |
11044 | Dbrdmt bone 1st 20 sq cm/< | 1 - modifier may bypass | Check pair |
11045 | Dbrdmt subq tiss each addl | 1 - modifier may bypass | Check pair |
11046 | Dbrdmt musc&/fsca ea addl | 1 - modifier may bypass | Check pair |
11047 | Dbrdmt bone each addl | 1 - modifier may bypass | Check pair |
35201 | Repair blood vessel dir neck | 1 - modifier may bypass | Check pair |
35206 | Repair blood vessel dir uxtr | 1 - modifier may bypass | Check pair |
35226 | Repair blood vessel dir lxtr | 1 - modifier may bypass | Check pair |
35231 | Repair blvsl vn grf neck | 1 - modifier may bypass | Check pair |
35236 | Repair blvsl vn grf uxtr | 1 - modifier may bypass | Check pair |
35256 | Repair blvsl vn grf lxtr | 1 - modifier may bypass | Check pair |
35261 | Rpr blvsl grf oth/thn vn nck | 1 - modifier may bypass | Check pair |
35266 | Rpr blvsl grf oth/th vn uxtr | 1 - modifier may bypass | Check pair |
35286 | Rpr blvsl grf oth/th vn lxtr | 1 - modifier may bypass | Check pair |
Showing 30 of 84 column 2 codes. Use the pair checker for any specific combination.
37186 is bundled into these codes
37186 appears as a Column 2 code in 12 active edits. Reported with one of these Column 1 codes on the same date of service, 37186 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0505T | Ev fempop artl revsc | 1 | Check pair |
34001 | Removal of artery clot | 1 | Check pair |
34051 | Removal of artery clot | 1 | Check pair |
34101 | Removal of artery clot | 1 | Check pair |
34111 | Removal of arm artery clot | 1 | Check pair |
34151 | Removal of artery clot | 1 | Check pair |
34201 | Removal of artery clot | 1 | Check pair |
34203 | Removal of leg artery clot | 1 | Check pair |
36904 | Thrmbc/nfs dialysis circuit | 1 | Check pair |
36905 | Thrmbc/nfs dialysis circuit | 1 | Check pair |
36906 | Thrmbc/nfs dialysis circuit | 1 | Check pair |
37184 | Prim art m-thrmbc 1st vsl | 0 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.