CPT 37193 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 | • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital |
| Common Modifiers | • None • GC - Service performed by resident under supervision • 53 - Discontinued procedure |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 37193 |
National average reimbursement for CPT 37193 by major payers:
$1,865.45
$2,232.71
$2,318.05
$2,483.45
| 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 37193 | ||||||
United | 37193 | $1029.00 | 1801849427 - MAIN STREET ASC LLC, OPHTHALMIC ASSOCIATES SURGERY AND LASER CENTER | 383711415 - (PA) MAIN STREET ASC LLC | PA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37193 | $1950.00 | 1922079896 - SOUTHERN OKLA SURGICAL SERVICES, ARDMORE REGIONAL SURGERY CENTER | 262814211 - (OK) ARDMORE REGIONAL SURGERY CENTER | OK | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37193 | $1760.00 | 1871514067 - GREENBELT UROLOGY INSTITUTE, L.L.C. | 203144771 - (MD) GREENBELT UROLOGY INSTITUTE LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37193 | $2588.00 | 1063999662 - SOUTHERN KENTUCKY SURGICENTER, LLC, GREENVIEW SURGERY CENTER | 474897131 - (KY) SOUTHERN KENTUCKY SURGICENTER LLC | KY | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37193 | $1242.10 | 1790270429 - AARON QUACH | 350593390 - DEACONESS HOSPITAL INC | IN | Certified Registered Nurse Anesthetist (367500000X) |
United | 37193 | $2035.00 | 1134779622 - HELIX SURGICENTER LLC | 834455797 - (IN) HELIX SURGICENTER LLC | IN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37193 | $1125.00 | 1417142084 - MID- AMERICA SURGERY CENTER, LLC | 204494200 - (MO) MID AMERICA SURGERY CENTER LLC | MO | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37193 | $819.00 | 1023498219 - GREAT LAKES AMBULATORY SURGERY CENTER | 352512220 - (OH) GREAT LAKES AMBULATORY SURGERY CENTER | OH | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37193 | $434.00 | 1114929957 - OPHTHALMIC OUTPATIENT SURGERY CENTER PARTNERS, LLC, OUTPATIENT SURGERY CENTER FOR SIGHT | 721405960 - (LA) OPHTHALMIC OUTPATIENT SURGERY CENTER PARTNERS LLC | LA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37193 | $5726.00 | 1063427557 - CAMPUS SURGERY CENTER LLC | 134334643 - (CA) CAMPUS SURGERY CENTER L P | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37193 | $2889.00 | 1922477645 - PUGET SOUND SURGICAL CENTER | 911687859 - (WA) PUGET SOUND SURGICAL CENTER LLC | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37193 | $1152.00 | 1437517745 - PREMIER AMBULATORY SURGERY CENTER | 475603095 - (NY) PREMIER AMBULATORY SURGERY CENTER | NY | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37193 | $2080.00 | 1912547746 - PORT ARTHUR SURGICAL CENTER, LLC, GULF COAST SURGERY CENTER | 843158723 - (TX) PORT ARTHUR SURGICAL CENTER LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37193 | $3570.00 | 1205949245 - MEMORIAL SURGERY CENTER, LLC | 201167151 - (OK) MEMORIAL SURGERY CENTER LLC | OK | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37193 | $1531.00 | 1811512734 - SSL ENDOSCOPY CENTER LLC, AVALA SURGERY CENTER | 843735506 - (LA) SSL ENDOSCOPY CENTER LLC | LA | 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 37193 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37193 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 37193 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 37193. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37193 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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