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See a sample rate comparisonCPT 37243 Fee Schedule
Last Verified: September 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.
Vasc Embolize Occlude Organ, Vascular Embolization Or Occlusion Inclusive Of All Radiological Supervision And Interpretation Intraprocedural Roadmapping And Imaging Guidance Necessary To Complete The Intervention For Tumors Organ Ischemia Or Infarction
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None GC - Service performed by resident under supervision RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 37243 |
| Medicaid Fee Schedule | View Medicaid rates for 37243 |
National average reimbursement for CPT 37243 by major payers:
$9,837.15
$13,022.71
$13,362.57
$1,925.22
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CPT 37243
5 of 25 sample ratesHigher to lower in this preview
Stefan Ruehm
$72,506.67Published rateBarry Stoll
$20,372.52Published rateChristopher Raio
St Joseph Hospital
$13,562.32Published rateBret Langenberg
$10,142.25Published rateAids Healthcare Foundation, Ahf
$352.95Published rate
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See a sample payer proposalCPT 37243 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37243 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 37243 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 |
|---|---|---|
| 37241-CPT | High | Vasc Embolize Occlude Venous, Vascular Embolization Or Occlusion Inclusive Of All Radiological Supervision And Interpretation Intraprocedural Roadmapping And Imaging Guidance Necessary To Complete The Intervention Venous Other Than Hemorrhage Eg Congenital Or Acquired Venous Malformations Venous And Capillary Hemangiomas Varices Varicoceles |
| 37242-CPT | High | Vasc Embolize Occlude Artery, Vascular Embolization Or Occlusion Inclusive Of All Radiological Supervision And Interpretation Intraprocedural Roadmapping And Imaging Guidance Necessary To Complete The Intervention Arterial Other Than Hemorrhage Or Tumor Eg Congenital Or Acquired Arterial Malformations Arteriovenous Malformations Arteriovenous Fistulas Aneurysms Pseudoaneurysms |
| 37243-CPT | High | Vasc Embolize Occlude Organ, Vascular Embolization Or Occlusion Inclusive Of All Radiological Supervision And Interpretation Intraprocedural Roadmapping And Imaging Guidance Necessary To Complete The Intervention For Tumors Organ Ischemia Or Infarction |
| 37244-CPT | High | Vasc Embolize Occlude Bleed, Vascular Embolization Or Occlusion Inclusive Of All Radiological Supervision And Interpretation Intraprocedural Roadmapping And Imaging Guidance Necessary To Complete The Intervention For Arterial Or Venous Hemorrhage Or Lymphatic Extravasation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 37243. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37243 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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