CPT 37211 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 | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital • 11 - Office |
| Common Modifiers | • None • 50 - Bilateral Procedure • RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 37211 |
National average reimbursement for CPT 37211 by major payers:
$559.77
$557.72
$564.94
$652.42
| 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 37211 | ||||||
United | 37211 | $14053.00 | 1497393516 - AURORA SURGERY CENTERS, LLC, AURORA PLEASANT PRAIRIE AMBULATORY SURGERY CENTER | 811401714 - (WI) AURORA SURGERY CENTERS LLC | WI | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37211 | $2250.00 | 1386670511 - HATTIESBURG AMBULATORY SURGERY CENTER LP, SOUTH MISSISSIPPI SURGERY CENTER | 752964475 - (MS) HATTIESBURG AMBULATORY SURGERY CENTER LP | MS | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37211 | $5785.00 | 1447932769 - PRO SURGERY CENTER LLC | 931484998 - (WA) PRO SURGERY CENTER LLC | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37211 | $3168.00 | 1750434759 - TOWER OAKS SURGERY CENTER, LLC | 204877029 - (MD) TOWER OAKS SURGERY CENTER LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37211 | $2831.00 | 1306957485 - FAIRFAX COLON & RECTAL SURGERY CENTER, LLC | 510571797 | VA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37211 | $4704.00 | 1811995913 - DALLAS SURGICAL PARTNERS, LLC, BAYLOR SCOTT & WHITE SURGICARE | 752813815 - (TX) DALLAS SURGICAL PARTNERS LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37211 | $6492.00 | 1083938765 - MEDICAL PARK TOWER SURGERY CENTER, LLC, MEDICAL PARK TOWER SURGERY CENTER | 270543475 - (TX) MEDICAL PARK TOWER SURGERY CENTER LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37211 | $2193.00 | 1992765986 - WESTERN WASHINGTON ENDOSCOPY CENTERS LLC, WALDRON ENDOSCOPY CENTER | 200289310 - (WA) WESTERN WASHINGTON ENDOSCOPY CENTERS LLC | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37211 | $1859.00 | 1477513844 - SAINT CHARLES SURGICAL PAVILION INC | 352100103 - (IN) SAINT CHARLES SURGICAL PAVILION INC | IN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37211 | $6186.00 | 1508851213 - FROEDTERT SURGERY CENTER, LLC | 201499345 - (WI) FROEDTERT SURGERY CENTER, LLC | WI | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37211 | $1810.00 | 1497084982 - WAKE ENDOSCOPY CENTER, LLC | 611578919 | NC | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37211 | $2500.00 | 1205184603 - ST. LUKES SURGICAL AT THE VILLAGES, INC | 460659691 - (FL) ST LUKES SURGICAL AT THE VILLAGES INC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37211 | $1943.00 | 1770551517 - SOUTHERN MARYLAND ENDOSCOPY CENTER | 522315798 - (MD) SOUTHERN MARYLAND ENDOSCOPY CENTER | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37211 | $3573.00 | 1518004696 - CENTURY CITY ENDOSCOPY, LLC | 954754975 - (CA) CENTURY CITY ENDOSCOPY LLC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37211 | $4914.00 | 1669748125 - RIVERVIEW SURGERY CENTER LLC | 452951941 - (IN) RIVERVIEW SURGERY CENTER LLC | IN | 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 37211 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37211 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 37211 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 |
|---|---|---|
| 37186-CPT | High | Secondary Percutaneous Transluminal Thrombectomy (Eg Nonprimary Mechanical Snare Basket Suction Technique) Noncoronary Non-Intracranial Arterial Or Arterial Bypass Graft Including Fluoroscopic Guidance And Intraprocedural Pharmacological Thrombolytic Injections Provided In Conjuction With Another Percutaneous Intervention Other Than Primary Mechanical Thrombectomy (List Separately In Addition To Code For Primary Procedure) (Revised 01/01/16) |
| 37187-CPT | High | Percutaneous Transluminal Mechanical Thrombectomy, Vein(S), Including Intraprocedural Pharmacological Thrombolytic Injections And Fluoroscopic Guidance |
| 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 37211. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37211 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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