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See a sample rate comparisonHealthcare 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.
| 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 | GC - Service performed by resident under supervision AG - Primary physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $185.04 national non-facility rate (2026) · View Medicare rates for 37200 |
| Medicaid Fee Schedule | $150.555 median of the 8 states in the free preview · View Medicaid rates for 37200 |
National average reimbursement for CPT 37200 by major payers:

$282.11

$307.05

$337.82

$350.55
Choose a payer to see a sample of rates for CPT 37200.
Memorial Hermann Surgery Center Pinecroft, LLC
Memorial Hermann Surgery Center Pinecroft LLC
Pinellas Surgery Center, LLC, Center For Special Surgery
Pinellas Surgery Center LLC
Kips Bay Endoscopy Center, LLC
Kips Bay Endoscopy Center LLC
Central Ga Head &Neck Surgery Center
Central Ga Head Neck Surgery Center
Premier Endoscopy Center,LLC
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 37200 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37200 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 37200 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 |
|---|---|---|
| 37200-CPT | Moderate | Blood Vessel Biopsy, Insertion Of A Thin Tube (Catheter) Into A Blood Vessel In Order To Take A Sample Of Tissue For Testing (Biopsy). |
| 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 37200. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37200 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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