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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 | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | LT - Left side of body 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $294.60 national non-facility rate (2026) · View Medicare rates for 37212 |
| Medicaid Fee Schedule | $233.245 median of the 8 states in the free preview · View Medicaid rates for 37212 |
National average reimbursement for CPT 37212 by major payers:

$477.96

$489.53

$493.92

$558.21
Choose a payer to see a sample of rates for CPT 37212.
Carolina Regional Surgery Center. Ltd
Carolina Regional Surgery Center Ltd
Surgcenter Of Palm Beach Gardens, Surgcenter Of Palm Beach Gardens, LLC
Surgcenter Of Palm Beach Gardens, LLC
Nei Ambulatory Surgery Center Inc PC
Manatee Surgicare Ltd
Amsurg Northern Kentucky Gi LLC, St. Elizabeth Physicians Endoscopy Center
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 37212 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37212 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 37212 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 |
|---|---|---|
| 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 |
| 37214-CPT | Low | Cessj Therapy Cath Removal, 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 Cessation Of Thrombolysis Including Removal Of Catheter And Vessel Closure By Any Method |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 37212. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37212 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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