CPT 37200 Fee Schedule
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.
| 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 • AG - Primary physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 37200 |
National average reimbursement for CPT 37200 by major payers:
$282.11
$307.05
$337.82
$360.19
| 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 37200 | ||||||
United | 37200 | $6492.00 | 1972869881 - ADVANCED SURGERY CENTER OF BETHESDA, LLC | 454376136 - (MD) ASC BETHESDA | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37200 | $5000.00 | 1003870825 - PINELLAS SURGERY CENTER, LLC, CENTER FOR SPECIAL SURGERY | 752563226 - (FL) PINELLAS SURGERY CENTER LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37200 | $2369.00 | 1447254172 - SURGICENTER OF BALTIMORE LLC, SURGICENTER OF BALTIMORE | 521658841 - (MD) SURGICENTER OF BALTIMORE LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37200 | $1519.00 | 1689735250 - VISION CORRECTION CENTER, LLC | 820544613 - (AL) VISION CORRECTION CENTER LLC | AL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37200 | $5000.00 | 1275938102 - FOURTH CORNER NEUROSURGICAL ASSOCIATES INC PS, CASCADE OUTPATIENT SPINE CENTER | 911416044 - (WA) FOURTH CORNER NEUROSURGICAL ASSOCIATES, INC. | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37200 | $1600.00 | 1205874906 - CENTRAL GA HEAD &NECK SURGERY CENTER | 582379919 - (GA) CENTRAL GA HEAD NECK SURGERY CENTER | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37200 | $847.00 | 1720833163 - MIDWEST EYE CENTER | 363010536 - (IL) MIDWEST EYE CENTER | IL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37200 | $860.00 | 1407801509 - ATLANTIC SURGERY CENTER,LLC | 223625894 - (NJ) ATLANTIC SURGERY CENTERLLC | NJ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37200 | $4300.00 | 1255728499 - SUMMIT ATLANTIC SURGERY CENTER LLC | 473235212 - (NJ) SUMMIT ATLANTIC SURGERY CENTER LLC | NJ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37200 | $2207.00 | 1558511881 - ADVANCED EYE MEDICAL GROUP A PROFESSIONAL CORPORATION, OPHTHALMOLOGY MEDICAL CENTER | 953875237 - (CA) ADVANCED EYE MEDICAL GROUP A PROFESSIONAL CORPORATION | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37200 | $383.00 | 1467635581 - PREMIER ENDOSCOPY CENTER,LLC | 205055187 | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37200 | $6588.00 | 1750823886 - LAKE ENDOSCOPY CENTER, LLC | 814225104 - (FL) LAKE ENDOSCOPY CENTER LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37200 | $1941.00 | 1265455463 - THE ENDOSCOPY CENTER AT BEL AIR | 470863243 - (MD) THE ENDOSCOPY CENTER AT BEL AIR | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37200 | $1305.59 | 1023162831 - SEATTLE REPRODUCTIVE SURGERY CENTER | 342014245 | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37200 | $6492.00 | 1154387710 - WARNER PARK SURGERY CENTER LLC, CENTER FOR ADVANCED SURGERY | 752824260 - (AZ) WARNER PARK SURGERY CENTER LLC | AZ | 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 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 | Transcatheter Biopsy |
| 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 |
| 37212-CPT | Moderate | Once Per Dos Transcatheter Therapy, Venous Infusion For Thrombolysis, Any Method, Including Radiological Supervision & Interpretation, Initial Treatment Day |
| 37213-CPT | Moderate | Transcatheter Therapy Arterial Or Venous Infusionfor Thrombolysis Other Than Coronary Any Method Including Radiological Supervision And Inter- Pretation 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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