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See a sample rate comparisonCPT 37160 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Anastomosis; Caval Mesenteric
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | 58 - Staged or related procedure during postoperative period GC - Service performed by resident under supervision XU - Unusual Non-Overlapping Service 53 - Discontinued procedure 78 - Return to OR - related procedure |
| Complexity Level | High |
| Medicare Fee Schedule | $2,039.13 national non-facility rate (2026) · View Medicare rates for 37160 |
| Medicaid Fee Schedule | $1,574.745 median of the 8 states in the free preview · View Medicaid rates for 37160 |
National average reimbursement for CPT 37160 by major payers:
$2,571.33
$2,718.61
$3,042.88
$3,385.37
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CPT 37160
5 of 25 sample ratesHigher to lower in this preview
Wasatch Front Surgery Center LLC
$2,847.00Published rateHorseshoe Surgery Center, LLC, Lakewood Surgery Center
Lakewood Surgery Center
$1,657.00Published rateCentennial Surgunit, LLC, Centennial Surgery Center
Centennial Surgunit LLC
$860.00Published rateAtlanta Surgery Centers, Atlanta Surgery Centers
$496.00Published rateUrology Health Surgery Center, LLC
Urology Health Surgery Center LLC
$250.00Published rate
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See a sample payer proposalCPT 37160 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37160 code is part of the Surgery services used for Surgical Procedures on the Cardiovascular System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 37160 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 37160. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37160 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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