CPT 37225 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Surgery • Surgical Procedures on the Cardiovascular System |
| Common Place of Service | • 11 - Office • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • LT - Left side of body • RT - Right side of body |
| Complexity Level | High |
National average reimbursement for CPT 37225 by major payers:
$10,734.19
$15,071.50
$14,389.02
$15,249.63
| 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 37225 | ||||||
United | 37225 | $29890.00 | 1053361642 - DEACONESS HOSPITAL, INC. | 350593390 - DEACONESS HOSPITAL INC | IN | General Acute Care Hospital (282N00000X) |
United | 37225 | $9707.88 | 1336541275 - WILLIAM SALINAS | 350593390 - DEACONESS HOSPITAL INC | FL | Certified Registered Nurse Anesthetist (367500000X) |
United | 37225 | $21128.93 | 1871889311 - NAVID BEHROOZ | 350593390 - DEACONESS HOSPITAL INC | VA | Emergency Medicine Physician (207P00000X) |
United | 37225 | $48363.71 | 1831678689 - STEPHAN ROGALLA | 260089066 | CA | Gastroenterology Physician (207RG0100X) |
United | 37225 | $15986.64 | 1255478004 - CHRISTOPHER RAIO | 113438973 - ST JOSEPH HOSPITAL | NY | Emergency Medicine Physician (207P00000X) |
United | 37225 | $8433.00 | 1508318411 - INTERVENTIONAL SPINE CENTER, LLC | 263161503 - (CA) INTERVENTIONAL SPINE CENTER LLC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37225 | $10493.00 | 1124498357 - ENDOSCOPY CENTER OF INLAND EMPIRE LLC | 474733900 - (CA) ENDOSCOPY CENTER OF INLAND EMPIRE INC / ENDOSCOPY CENTER OF INLAND EMPIRE LLC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37225 | $5521.00 | 1184844607 - SPECIALTY CARE AND SURGERY CENTER | 954176904 - (CA) SPECIALTY CARE AND SURGERY CENTER | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37225 | $35604.82 | 1255478004 - CHRISTOPHER RAIO | 111635088 - MERCY MEDICAL CENTER | NY | Emergency Medicine Physician (207P00000X) |
United | 37225 | $27342.36 | 1003166612 - MATTHEW LILLEY | 931261079 - THE ORTHOPEDIC AND NEUROSURGICAL CENTER OF THE CASCADES | OR | Orthopaedic Surgery Physician (207X00000X) |
United | 37225 | $16529.42 | 1891771176 - CHRISTOPHER DREW | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physical Therapist (225100000X) |
United | 37225 | $3822.00 | 1396700753 - HALCYON LASER & SURGERY CENTER, INC. | 770410936 - (CA) HALCYON LASER SURGERY CENTER INC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37225 | $6000.00 | 1457820466 - CHINO PREMIER SURGERY CENTER LIMITED PARTNERSHIP | 822652791 - (CA) CHINO PREMIER SURGERY CENTER LIMITED PARTNERSHIP | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37225 | $4500.00 | 1255793758 - MISSION SURGERY CENTER, INC. | 475137439 - (CA) MISSION SURGERY CENTER INC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37225 | $8433.00 | 1639498579 - INTERVENTIONAL SPINE CENTER, LLC | 263161503 - (CA) INTERVENTIONAL SPINE CENTER LLC | CA | 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 37225 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37225 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 37225 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 |
|---|---|---|
| 37224-CPT | High | Revascularization, Endovascular, Open Or Percutaneous, Femoral, Popliteal Artery(S), Unilateral; With Transluminal Angioplasty |
| 37225-CPT | High | Revascularization, Endovascular, Open Or Percutaneous, Femoral, Popliteal Artery(S), Unilateral; With Atherectomy, Includes Angioplasty Within The Same Vessel, When Performed |
| 37226-CPT | High | Revascularization, Endovascular, Open Or Percutaneous, Femoral, Popliteal Artery(S), Unilateral; With Transluminal Stent Placement(S), Includes Angioplasty Within The Same Vessel, When Performed |
| 37227-CPT | High | Revascularization, Endovascular, Open Or Percutaneous, Femoral, Popliteal Artery(S), Unilateral; With Transluminal Stent Placement(S) And Atherectomy, Includes Angioplasty Within The Same Vessel, 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 37225. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37225 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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