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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 RVUPractice expense RVUMalpractice RVUTotalMedicare rate
Non-facility (office)4.8028.791.0634.65$1,157.34
Facility (hospital, ASC)4.800.661.066.52$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.

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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 codeShort descriptionModifier indicator
01924Anes ther ivntl rad artl nos0 - no modifier bypassCheck pair
01925Anes ivntl rad artl crtd/c0 - no modifier bypassCheck pair
01926Anes ivntl rad icr icar/aort0 - no modifier bypassCheck pair
0213TNjx paravert w/us cer/thor1 - modifier may bypassCheck pair
0216TNjx paravert w/us lumb/sac1 - modifier may bypassCheck pair
0708TId ca immntx prep & 1st njx1 - modifier may bypassCheck pair
0709TId ca immntx each addl njx1 - modifier may bypassCheck pair
0903TEcg alg 12 lead reduced i&r1 - modifier may bypassCheck pair
0904TEcg alg 12 ld rdcd trcg only1 - modifier may bypassCheck pair
0905TEcg alg 12 ld rdcd i&r only1 - modifier may bypassCheck pair
11000Dbrdmt ecz/infected skin<10%1 - modifier may bypassCheck pair
11001Dbrdmt ecz/infct skn ea addl1 - modifier may bypassCheck pair
11004Dbrdmt skin xtrnl gent&per1 - modifier may bypassCheck pair
11005Dbrdmt skin abdominal wall1 - modifier may bypassCheck pair
11006Dbrdmt skin xtrnl gent per1 - modifier may bypassCheck pair
11042Dbrdmt subq tis 1st 20sqcm/<1 - modifier may bypassCheck pair
11043Dbrdmt musc&/fsca 1st 20/<1 - modifier may bypassCheck pair
11044Dbrdmt bone 1st 20 sq cm/<1 - modifier may bypassCheck pair
11045Dbrdmt subq tiss each addl1 - modifier may bypassCheck pair
11046Dbrdmt musc&/fsca ea addl1 - modifier may bypassCheck pair
11047Dbrdmt bone each addl1 - modifier may bypassCheck pair
35201Repair blood vessel dir neck1 - modifier may bypassCheck pair
35206Repair blood vessel dir uxtr1 - modifier may bypassCheck pair
35226Repair blood vessel dir lxtr1 - modifier may bypassCheck pair
35231Repair blvsl vn grf neck1 - modifier may bypassCheck pair
35236Repair blvsl vn grf uxtr1 - modifier may bypassCheck pair
35256Repair blvsl vn grf lxtr1 - modifier may bypassCheck pair
35261Rpr blvsl grf oth/thn vn nck1 - modifier may bypassCheck pair
35266Rpr blvsl grf oth/th vn uxtr1 - modifier may bypassCheck pair
35286Rpr blvsl grf oth/th vn lxtr1 - modifier may bypassCheck 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 codeShort descriptionModifier indicator
0505TEv fempop artl revsc1Check pair
34001Removal of artery clot1Check pair
34051Removal of artery clot1Check pair
34101Removal of artery clot1Check pair
34111Removal of arm artery clot1Check pair
34151Removal of artery clot1Check pair
34201Removal of artery clot1Check pair
34203Removal of leg artery clot1Check pair
36904Thrmbc/nfs dialysis circuit1Check pair
36905Thrmbc/nfs dialysis circuit1Check pair
36906Thrmbc/nfs dialysis circuit1Check pair
37184Prim art m-thrmbc 1st vsl0Check 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.