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See a sample rate comparisonCPT 37216 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Transcath Stent Cca W O Eps, Transcatheter Placement Of Intravascular Stent S Cervical Carotid Artery Open Or Percutaneous Including Angioplasty When Performed And Radiological Supervision And Interpretation Without Distal Embolic Protection
| 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 RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 37216 |
| Medicaid Fee Schedule | $780.355 median of the 8 states in the free preview · View Medicaid rates for 37216 |
National average reimbursement for CPT 37216 by major payers:
$1,413.83
$1,737.65
$1,624.94
$1,998.82
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CPT 37216
5 of 25 sample ratesHigher to lower in this preview
Physicians West Houston Surgical Center, LLC, Memorial Hermann Surgery Center Park Ten
$5,554.00Published rateGrhs, LLC, Rochester Ambulatory Surgery Center
Rochester Ambulatory Surgery Center
$1,108.00Published rateCataract And Refractive Surgery Center, LLC, Novamed Surgery Center Of Richmond, LLC
Cataract And Refractive Surgery Center LLC
$750.00Published rateCandescent Eye Health Surgicenter, LLC
$504.00Published rateBryn Mawr Medical Specialists Association
$200.00Published rate
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See a sample payer proposalCPT 37216 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37216 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 37216 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 |
|---|---|---|
| 37215-CPT | High | Transcath Stent Cca W Eps, Transcatheter Placement Of Intravascular Stent S Cervical Carotid Artery Open Or Percutaneous Including Angioplasty When Performed And Radiological Supervision And Interpretation With Distal Embolic Protection |
| 37216-CPT | High | Transcath Stent Cca W O Eps, Transcatheter Placement Of Intravascular Stent S Cervical Carotid Artery Open Or Percutaneous Including Angioplasty When Performed And Radiological Supervision And Interpretation Without Distal Embolic Protection |
| 37217-CPT | High | Transcatheter Placement Of An Intravascular Stent(S) Intrathoracic Common Carotid Artery Or Innominate Artery By Retrograde Treatment Open Ipsilateral Cervical Carotid Artery Exposure Including Angioplasty When Performed And Radiological Supervision And Interpretation (Desc Revised 01/01/15) |
| 37218-CPT | High | Stent Placemt Ante Carotid, Transcatheter Placement Of Intravascular Stent S Intrathoracic Common Carotid Artery Or Innominate Artery Open Or Percutaneous Antegrade Approach Including Angioplasty When Performed And Radiological Supervision And Interpretation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 37216. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37216 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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