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See a sample rate comparisonCPT 37238 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.
Open Perq Place Stent Same, Transcatheter Placement Of An Intravascular Stent S Open Or Percutaneous Including Radiological Supervision And Interpretation And Including Angioplasty Within The Same Vessel When Performed Initial Vein
| 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 | LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $3,274.62 national non-facility rate (2026) · View Medicare rates for 37238 |
| Medicaid Fee Schedule | $2,584.19 median of the 8 states in the free preview · View Medicaid rates for 37238 |
National average reimbursement for CPT 37238 by major payers:
$4,001.79
$4,954.62
$5,529.05
$895.89
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CPT 37238
5 of 25 sample ratesHigher to lower in this preview
Providence Health & Services Washington, Providence Surgery And Procedure Center
Providence Surgery And Procedure Center LLC
$15,900.00Published rateGeorgia Urology, PA, Georgia Urology Asc Conyers
$8,553.00Published rateBurnsville Surgery Center, P.A.
Burnsville Surgery Center PA
$3,960.00Published rateLake Mary Surgery Center LLC
Lake Mary Surgery Center
$2,970.00Published rateWilmington Surgical Services LLC
$1,215.00Published rate
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See a sample payer proposalCPT 37238 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37238 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 37238 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 |
|---|---|---|
| 37236-CPT | High | Transcatheter Placement Of An Intravascular Stent (S) (Except Lower Extremity Artery(S) For Occlusive Disease Cervial Carotid Extracranial Vertebral Or Intrathoracic Carotid Intracranial Or Coronary) Open Or Percutaneous Including Radiological Supervision And Interpretation And Including All Angioplasty Within The Same Vessel When Performed; Initial Artery (Desc Revised 01/01/15) |
| 37237-CPT | High | Transcatheter Placement Of An Intravascular Stent (S) (Except Lower Extremity Artery(S) For Occlusive Disease Cervial Carotid Extracranial Vertebral Or Intrathoracic Carotid Intracranial Or Coronary) Open Or Percutaneous Including Radiological Supervision And Interpretation And Including All Angioplasty Within The Same Vessel When Performed; Each Additional Artery (List Separately In Addition To Code For Primary Procedure) (Desc Revised 01/01/15) |
| 37238-CPT | High | Open Perq Place Stent Same, Transcatheter Placement Of An Intravascular Stent S Open Or Percutaneous Including Radiological Supervision And Interpretation And Including Angioplasty Within The Same Vessel When Performed Initial Vein |
| 37239-CPT | High | Open Perq Place Stent Ea Add, Transcatheter Placement Of An Intravascular Stent S Open Or Percutaneous Including Radiological Supervision And Interpretation And Including Angioplasty Within The Same Vessel When Performed Each Additional Vein List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 37238. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37238 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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