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See a sample rate comparisonHealthcare 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 | 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | $1,478.99 national non-facility rate (2026) · View Medicare rates for 37197 |
| Medicaid Fee Schedule | $1,161.675 median of the 8 states in the free preview · View Medicaid rates for 37197 |
National average reimbursement for CPT 37197 by major payers:

$1,805.25

$2,171.39

$2,305.51

$633.83
Choose a payer to see a sample of rates for CPT 37197.
Aurora Surgery Centers, LLC
Aurora Surgery Centers LLC
Aria Health Bucks County Spu
Jefferson Health-Northeast
South Sound Surgery, PLLC, Auburn Surgical Center
South Sound Surgery PLLC
Imperial Health, LLP
Carolina Digestive Health Associates, PA, Carolina Digestive Endoscopy Center
Carolina Digestive Health Associates, PA
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 37197 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37197 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 37197 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 | Ins Endovas Vena Cava Filtr, 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 | Redo Endovas Vena Cava Filtr, 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 | Rem Endovas Vena Cava Filter, 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 |
| 37197-CPT | High | Remove Intrvas Foreign Body, Transcatheter Retrieval Percutaneous Of Intravascular Foreign Body Eg Fractured Venous Or Arterial Catheter Includes Radiological Supervision And Interpretation And Imaging Guidance Ultrasound Or Fluoroscopy 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 37197. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37197 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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