CPT 37227 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 • 21 - Inpatient Hospital |
| Common Modifiers | • None • LT - Left side of body • RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 37227 |
National average reimbursement for CPT 37227 by major payers:

$14,577.01

$19,812.69

$18,685.75

$19,736.09
| 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 37227 | ||||||
United | 37227 | $41527.69 | 1033777677 - TYLER LOOMER | 311667875 | IL | Internal Medicine Physician (207R00000X) |
United | 37227 | $57766.01 | 1881121929 - JAHANZEB QURESHI | 390806315 | IL | Internal Medicine Physician (207R00000X) |
United | 37227 | $995.35 | 1497923288 - RYAN MIYAMOTO | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
United | 37227 | $36182.21 | 1346602877 - SEAN CONNOLLY | 363097297 | IL | Internal Medicine Physician (207R00000X) |
United | 37227 | $21258.39 | 1073251229 - BEVERLY UWANAKA | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | MD | Occupational Therapist (225X00000X) |
United | 37227 | $27217.38 | 1558927749 - NAMAN AGRAWAL | 204881619 | IL | Internal Medicine Physician (207R00000X) |
United | 37227 | $24989.32 | 1326500042 - MUHAMMAD MUNIR | 362169147 | IL | Internal Medicine Physician (207R00000X) |
United | 37227 | $40456.98 | 1689991929 - BLOOMINGTON PRIMARY CARE, LTD., STEPHEN C. PILCHER, MD, LTS | 271891697 | IL | Single Specialty Group (193400000X) |
United | 37227 | $23482.84 | 1730561903 - MOHAMMAD AL-AKCHAR | 370661215 | IL | Internal Medicine Physician (207R00000X) |
United | 37227 | $23395.15 | 1659089274 - MANPREET SINGH | 862358048 | IL | Single Specialty Group (193400000X) |
United | 37227 | $14773.33 | 1568412773 - THOMAS KOURI | 862788917 | IL | Internal Medicine Physician (207R00000X) |
United | 37227 | $27227.35 | 1346778297 - JASDIP GREWAL | 350593390 - DEACONESS HOSPITAL INC | IN | Hospitalist Physician (208M00000X) |
United | 37227 | $11764.97 | 1053866707 - BRITTANY PTACHICK | 541958039 - HROA 401K PLAN | VA | Family Nurse Practitioner (363LF0000X) |
United | 37227 | $30020.83 | 1679952071 - POUYAN ARMAN | 371071858 | IL | Interventional Cardiology Physician (207RI0011X) |
United | 37227 | $21330.19 | 1801813266 - GREGG BEAN | 741586031 | TX | Diagnostic Radiology Physician (2085R0202X) |
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 37227 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37227 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 37227 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 37227. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37227 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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