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See a sample rate comparisonCPT 37185 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Primary Percutaneous Transluminal Mechanical Thrombectomy Noncoronary Non-Intracranial Arterial Or Arterial Bypass Graft Including Fluoroscopic Guidance And Intraprocedural Pharmacological Thrombolytic Injection(S); Second And All Subsequent Vessel(S) Within The Same Vascular Family (List Separately In Addition To Code For Primary Mechanical Thrombectomy Procedure) Revised 01/01/2016
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $458.93 national non-facility rate (2026) · View Medicare rates for 37185 |
| Medicaid Fee Schedule | $375.02 median of the 8 states in the free preview · View Medicaid rates for 37185 |
National average reimbursement for CPT 37185 by major payers:
$683.13
$929.47
$881.20
$320.46
Compare published rates across providers.
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CPT 37185
5 of 25 sample ratesHigher to lower in this preview
New Jersey Surgery Center LLC, New Jersey Surgery Center
New Jersey Surgery Center LLC
$1,453.00Published rateAdventhealth Surgery Center Davenport LLC
$555.00Published rateFayetteville Ambulatory Surgery Center Limited Partnership, Fayetteville Ambulatory Surgery Center
Fayetteville Ambulatory Surgery
$219.00Published rateMountain West Surgical Center, LLC
Mountain West Surgical Center LLC
$94.00Published rateRiverside Ambulatory Surgery Center LLC
$37.00Published rate
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See a sample payer proposalCPT 37185 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37185 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 37185 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 |
|---|---|---|
| 37184-CPT | High | Procedure To Remove Blood Clot, Surgery With X-Ray Guidance To Open Up A Blocked Blood Vessel Using A Thin Tube (Catheter). A Balloon At The Catheter Tip Is Inflated To Disrupt The Blockage. The Fragments May Be Pulled Out Manually Or By Giving Clot-Busting Drugs. |
| 37185-CPT | Moderate | Primary Percutaneous Transluminal Mechanical Thrombectomy Noncoronary Non-Intracranial Arterial Or Arterial Bypass Graft Including Fluoroscopic Guidance And Intraprocedural Pharmacological Thrombolytic Injection(S); Second And All Subsequent Vessel(S) Within The Same Vascular Family (List Separately In Addition To Code For Primary Mechanical Thrombectomy Procedure) Revised 01/01/2016 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 37185. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37185 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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