37180 Revision of circulation
Also known as: lower extremity graft revision, fem-tib revision
Revision of a vascular graft in the lower extremity circulation, typically involving femoral, popliteal, or tibial arteries with thrombectomy.
In Plain Language
leg bypass repair; leg graft surgery
Clinical Context
Performed when lower extremity vascular grafts fail, common in patients with critical limb ischemia or prior amputation risk. Preserves limb viability.
RVU Breakdown
| Work RVU | 35.59 |
| Total RVU | 35.59 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 35.59, this code ranks in the 95th percentile among Surgery codes — 4.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 37180?
CPT 37180 (Revision of circulation) is a Surgery code. Revision of a vascular graft in the lower extremity circulation, typically involving femoral, popliteal, or tibial arteries with thrombectomy.
What is the wRVU value for CPT 37180?
The work RVU for CPT 37180 is 35.59. This code is primarily used by vascular surgery, limb salvage. It has a 90-day global period.
When is CPT 37180 used?
Performed when lower extremity vascular grafts fail, common in patients with critical limb ischemia or prior amputation risk. Preserves limb viability.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.