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See a sample rate comparisonCPT 37195 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.
Thrombolysis, Cerebral, By Intravenous Infusion
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 23 - Emergency Room 21 - Inpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 37195 |
| Medicaid Fee Schedule | $257.845 median of the 8 states in the free preview · View Medicaid rates for 37195 |
National average reimbursement for CPT 37195 by major payers:
$723.99
$459.30
$1,112.21
$1,076.60
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CPT 37195
5 of 25 sample ratesHigher to lower in this preview
Prime Healthcare Services-Suburban Hospital LLC
$664.70Published rateSquaw Peak Surgical Facility Inc
$394.00Published rateIredell Physician Network, LLC, Iredell Surgery At Mooresville Asc
$160.00Published rateFamily Surgery Center, LLC
Family Surgery Center LLC
$125.00Published rateWoodhams Laser & Lens Implant Center LLC
Woodhams Laser Lens Implant Center LLC
$63.00Published rate
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See a sample payer proposalCPT 37195 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37195 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 37195 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 |
|---|---|---|
| 37195-CPT | Moderate | Thrombolysis, Cerebral, By Intravenous Infusion |
| 37211-CPT | Moderate | Infusion To Remove Blood Clot, Infusion Therapy Delivers Medication Over A Period Of Several Hours Through A Thin Tube (Catheter) Inserted Into A Blood Vessel. This Treatment Dissolves Blood Clots And May Include The Injection Of A Contrast Dye To Verify The Clot Has Been Affected. |
| 37212-CPT | Moderate | Infusion To Remove Blood Clot, Infusion Therapy Delivers Medication Over A Period Of Several Hours Through A Thin Tube (Catheter) Inserted Into A Blood Vessel. This Treatment Dissolves Blood Clots And May Include The Injection Of A Contrast Dye To Verify The Clot Has Been Affected. |
| 37213-CPT | Moderate | Thromblytic Art Ven Therapy, Transcatheter Therapy Arterial Or Venous Infusion For Thrombolysis Other Than Coronary Any Method Including Radiological Supervision And Interpretation Continued Treatment On Subsequent Day During Course Of Thrombolytic Therapy Including Follow Up Catheter Contrast Injection Position Change Or Exchange When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 37195. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37195 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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