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See a sample rate comparisonCPT 37181 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.
Splice Spleen Kidney Veins, Venous Anastomosis Open Splenorenal Distal Selective Decompression Of Esophagogastric Varices Any Technique
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 81 - Independent Laboratory |
| Common Modifiers | 62 - Co-Surgeons 22 - Increased Procedural Services 80 - Assistant surgeon 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | $2,137.66 national non-facility rate (2026) · View Medicare rates for 37181 |
| Medicaid Fee Schedule | $1,650.575 median of the 8 states in the free preview · View Medicaid rates for 37181 |
National average reimbursement for CPT 37181 by major payers:
$2,738.84
$2,920.52
$3,218.64
$3,600.65
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CPT 37181
5 of 25 sample ratesHigher to lower in this preview
Grove City Medical Center
$6,228.00Published rateEast West Surgery Center Lp
$1,064.00Published rateSummit Ventures Of Santa Barbara, Lp, Summit Surgery Center
Summit Ventures Of Santa Barbara, Lp
$854.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$565.00Published rateUniversity Of Maryland Medicine Asc, LLC, University Of Maryland Surgery Center
University Of Maryland Medicine Asc LLC
$202.00Published rate
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See a sample payer proposalCPT 37181 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37181 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 37181 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.
| Code | Complexity | Description |
|---|---|---|
| 37140-CPT | High | Anastomosis; Portocaval |
| 37145-CPT | High | Anastomosis; Renoportal Renoportal |
| 37160-CPT | High | Anastomosis; Caval Mesenteric |
| 37181-CPT | High | Splice Spleen Kidney Veins, Venous Anastomosis Open Splenorenal Distal Selective Decompression Of Esophagogastric Varices Any Technique |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 37181. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37181 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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