CPT 37213 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 |
| Common Modifiers | • None • RT - Right side of body • LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 37213 |
National average reimbursement for CPT 37213 by major payers:
$333.06
$339.35
$337.82
$397.26
| 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 37213 | ||||||
United | 37213 | $161.00 | 1679566228 - AMBULATORY FOOT AND ANKLE CENTER, INC. | 521910756 - (MD) AMBULATORY FOOT AND ANKLE CENTER INC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37213 | $416.00 | 1104833839 - ROCHESTER SURGERY CENTER, P.C. | 200510602 - (MI) ROCHESTER SURGERY CENTER PC | MI | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37213 | $500.00 | 1740289024 - KOOTENAI OUTPATIENT SURGERY CNTR LLC, KOOTENAI OUTPATIENT SURGERY | 820523354 - (ID) KOOTENAI OUTPATIENT SURGERY | ID | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37213 | $1963.00 | 1588629604 - GREENVILLE SURGERY CENTER, LLC, TEXAS HEALTH SURGERY CENTER DALLAS | 742411643 - (TX) GREENVILLE SURGERY CENTER LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37213 | $853.00 | 1689632119 - CHILDREN'S WEST SURGERY CENTER | 621872553 - (TN) CHILDRENS WEST SURGERY CENTER | TN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37213 | $750.00 | 1801320510 - JOHNS CREEK CENTER FOR PAIN AND SPINE | 814348805 | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37213 | $953.00 | 1891175188 - PHOENIX SPINE GOODYEAR ASC, LLC, PHOENIX SPINE SURGERY CENTER | 562311366 - (AZ) PHOENIX SPINE GOODYEAR, LTD. | AZ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37213 | $934.00 | 1366444929 - EAST WEST SURGERY CENTER LP | 621797897 - (GA) EAST WEST SURGERY CENTER LP | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37213 | $180.00 | 1164601696 - SALVATORE DIMERCURIO MD PA | 521833726 - (MD) SALVATORE DIMERCURIO, M.D., P.A. | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37213 | $629.00 | 1689632051 - ROSS SURGERY CENTER INC | 743085621 - (OH) ROSS SURGERY CENTER INC | OH | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37213 | $853.00 | 1376641670 - AMBULATORY SURGERY CENTER OF GREATER NEW YORK, LLC | 133418924 - (NY) AMBULATORY SURGERY CENTER OF GREATER NEW YORK, LLC | NY | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37213 | $4433.00 | 1285768903 - SURGERY CENTER OF RENO, LLC, SWIFT SURGERY CENTER LLC | 203707845 - (NV) SURGERY CENTER OF RENO, LLC | NV | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37213 | $574.00 | 1013471754 - ADVANCED SURGERY CENTER OF LANCASTER, LLC | 831133719 - (PA) ADVANCED SURGERY CENTER OF LANCASTER LLC | PA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37213 | $550.00 | 1154046019 - GEORGIA INTERVENTIONAL PAIN | 880572909 - (GA) GEORGIA INTERVENTIONAL PAIN | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37213 | $591.00 | 1881184356 - BLACKBURN &WHITNEY MD PS, PLASTIC SURGERY BELLINGHAM | 912176854 - (WA) BLACKBURN & WHITNEY MD PS | WA | 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 37213 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37213 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 37213 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 |
| 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 37213. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37213 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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