CPT 37239 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 |
National average reimbursement for CPT 37239 by major payers:
$1,950.45
$2,387.75
$2,687.44
$2,818.88
| 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 37239 | ||||||
United | 37239 | $2994.92 | 1124150685 - DAVID FISH | 350593390 - DEACONESS HOSPITAL INC | IN | Anesthesiology Physician (207L00000X) |
United | 37239 | $1376.05 | 1568935344 - JAMES GILSTRAP | 350593390 - DEACONESS HOSPITAL INC | MO | Certified Registered Nurse Anesthetist (367500000X) |
United | 37239 | $1376.05 | 1861134314 - BAILEY RANKIN | 350593390 - DEACONESS HOSPITAL INC | IN | Nurse Practitioner (363L00000X) |
United | 37239 | $1376.05 | 1962919738 - HEATHER MELLISH | 350593390 - DEACONESS HOSPITAL INC | FL | Certified Registered Nurse Anesthetist (367500000X) |
United | 37239 | $2994.92 | 1568788594 - PATRICK DUFFY | 350593390 - DEACONESS HOSPITAL INC | TN | Surgical Critical Care Physician (2086S0102X) |
United | 37239 | $1376.05 | 1477112357 - TAYLOR COULSON | 350593390 - DEACONESS HOSPITAL INC | IN | Nurse Practitioner (363L00000X) |
United | 37239 | $30004.00 | 1619031416 - DEACONESS HOSPITAL, INC, <UNAVAIL> | 350593390 - DEACONESS HOSPITAL INC | IN | Anesthesiology Physician (207L00000X) |
United | 37239 | $1376.05 | 1508364522 - AMY ENGELHARDT | 350593390 - DEACONESS HOSPITAL INC | FL | Certified Registered Nurse Anesthetist (367500000X) |
United | 37239 | $2994.92 | 1497069926 - ELVIRA CANE | 350593390 - DEACONESS HOSPITAL INC | IN | Hospitalist Physician (208M00000X) |
United | 37239 | $3330.12 | 1801813266 - GREGG BEAN | 741671142 - (TX) SOUTH TEXAS RADIOLOGY GROUP, P.A. | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 37239 | $2994.92 | 1659668804 - RAGHAV GUPTA | 350593390 - DEACONESS HOSPITAL INC | IN | Pulmonary Disease Physician (207RP1001X) |
United | 37239 | $2994.92 | 1821440801 - RAUL RAMIREZ VELAZQUEZ | 350593390 - DEACONESS HOSPITAL INC | IN | Hospitalist Physician (208M00000X) |
United | 37239 | $2994.92 | 1649547712 - OMAR RIVERA-RIVERA | 350593390 - DEACONESS HOSPITAL INC | PR | Family Medicine Physician (207Q00000X) |
United | 37239 | $2994.92 | 1629125679 - OLUBUNMI ADEGBOYEGA | 350593390 - DEACONESS HOSPITAL INC | KY | Hospitalist Physician (208M00000X) |
United | 37239 | $2994.92 | 1710479761 - MOLLIE WETSTEIN | 350593390 - DEACONESS HOSPITAL INC | IN | Family Medicine Physician (207Q00000X) |
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 37239 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37239 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 37239 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 | 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 | Transcatheter Placement Of An Intravascular Stent(S) Open Or Percutaneous Including Radiological Supervision And Interpretation And Including Angioplasty Within The Same Vessel Whenperformed; 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 37239. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37239 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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