CPT 37191 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Surgery • Surgical Procedures on the Cardiovascular System |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • GC - Service performed by resident under supervision • AG - Primary physician |
| Complexity Level | High |
National average reimbursement for CPT 37191 by major payers:
$2,623.10
$3,437.81
$3,398.07
$3,536.59
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 37191 | ||||||
United | 37191 | $2027.00 | 1629094917 - ANNAPOLIS ENT SURGICAL CENTER, LLC | 522337616 | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37191 | $3357.00 | 1023070026 - TOMS RIVER SURGERY CENTER, LLC, TOMS RIVER SURGERY CENTER | 752854783 - (NJ) TOMS RIVER SURGERY CENTER LLC | NJ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37191 | $1588.00 | 1093459315 - PERFORMANCE HEALTH SURGICENTER, LLC | 881897351 - (FL) PERFORMANCE HEALTH SURGICENTER LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37191 | $2525.00 | 1598952061 - ENDOSCOPY ASSOCIATES, LLC | 142006705 - (VA) ENDOSCOPY ASSOCIATES LLC | VA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37191 | $1975.00 | 1568583896 - EASTERN ORANGE AMBULATORY SURGERY CENTER, LLC | 205350007 - (NY) EASTERN ORANGE ASC LLC | NY | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37191 | $7877.00 | 1871594275 - DESTIN SURGERY CENTER LLC | 593723179 - (FL) DESTIN SURGERY CENTER LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37191 | $4450.00 | 1295918977 - WEST COAST CENTERS FOR SURGERIES LLC | 261572011 - (CA) WEST COAST CENTERS FOR SURGERIES LLC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37191 | $665.00 | 1396192241 - ANDERSON ENDOSCOPY CENTER LLC | 811947476 - (OH) ANDERSON ENDOSCOPY CENTER LLC | OH | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37191 | $1177.00 | 1902863723 - OAK & MAIN SURGICENTER LLC | 223532371 - (NJ) OAK MAIN SURGICENTER LLC | NJ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37191 | $5846.00 | 1154911592 - BCC WEST VALLEY LLC | 854264663 - (AZ) BCC WEST VALLEY LLC | AZ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37191 | $6087.00 | 1205949245 - MEMORIAL SURGERY CENTER, LLC | 201167151 - (OK) MEMORIAL SURGERY CENTER LLC | OK | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37191 | $1186.00 | 1699012682 - FSC INVESTMENTS, LLC, FLORISSANT SURGERY CENTER | 453808874 - (MO) FSC INVESTMENTS LLC | MO | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37191 | $7694.00 | 1932146990 - CHCA MAINLAND, L.P., MAINLAND MEDICAL CENTER | 621801360 | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37191 | $2511.00 | 1326388000 - SOUTHEASTERN ORTHOPAEDICS SURGERY CENTER | 352467951 - (GA) SOUTHEASTERN ORTHOPAEDICS SURGERY CENTER | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37191 | $4972.00 | 1265487474 - HORSESHOE SURGERY CENTER, LLC, LAKEWOOD SURGERY CENTER | 202137172 - (MN) LAKEWOOD SURGERY CENTER | MN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 37191 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37191 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 37191 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 |
|---|---|---|
| 37191-CPT | High | Insertion Of Intravascular Vena Cava Filter, Endovascular Approach Including Vascular Access, Vessel Selection, And Radiological Supervision And Interpretation, Intraprocedural Roadmapping, And Imaging Guidance (Ultrasound And Fluoroscopy), When Performed |
| 37192-CPT | High | Repositioning Of Intravascular Vena Cava Filter, Endovascular Approach Including Vascular Access, Vessel Selection, And Radiological Supervision And Interpretation, Intraprocedural Roadmapping, And Imaging Guidance (Ultrasound And Fluoroscopy), When Performed |
| 37193-CPT | High | Retrieval (Removal) Of Intravascular Vena Cava Filter, Endovascular Approach Including Vascular Access, Vessel Selection, And Radiological Supervision And Interpretation, Intraprocedural Roadmapping, And Imaging Guidance (Ultrasound And Fluoroscopy), When Performed |
| 37211-CPT | Moderate | Transcatheter Therapy Arterial Infusion For Thrombolysis Other Than Coronary Intracranial Any Method Including Radiological Surpervision And Interpretation Initial Treatment Day 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 37191. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37191 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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