CPT 37246 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 • 24 - Ambulatory Surgical Center |
| Common Modifiers | • None • LT - Left side of body • RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 37246 |
National average reimbursement for CPT 37246 by major payers:
$2,086.83
$2,827.42
$2,879.83
$3,058.27
| 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 37246 | ||||||
United | 37246 | $1667.84 | 1992437891 - ROBIN BETZ | 350593390 - DEACONESS HOSPITAL INC | IN | Certified Registered Nurse Anesthetist (367500000X) |
United | 37246 | $3851.80 | 1194337428 - AKASH MANDHAN | 900743550 | MO | Internal Medicine Physician (207R00000X) |
United | 37246 | $2526.40 | 1124172622 - VASANA CHEANVECHAI | 203717237 - (FL) VASANA CHEANVECHAI, MD, LTD. | FL | Single Specialty Group (193400000X) |
United | 37246 | $3630.03 | 1891108692 - NATHALIE DOUGE | 350593390 - DEACONESS HOSPITAL INC | NY | Hospitalist Physician (208M00000X) |
United | 37246 | $3851.80 | 1619940392 - WILLIAM BEAMAN | 430653493 | MO | Internal Medicine Physician (207R00000X) |
United | 37246 | $8222.09 | 1134480783 - VIRGINIA HAHN | 520595110 | MO | Cardiovascular Disease Physician (207RC0000X) |
United | 37246 | $1735.81 | 1831535442 - MAGNOLIA PEDIATRICS GROUP LLC | 371712499 - (FL) MAGNOLIA PEDIATRICS | FL | Single Specialty Group (193400000X) |
United | 37246 | $3191.71 | 1104870021 - MARYLAND MEDICAL GROUP LTD | 431141563 | MO | Internal Medicine Physician (207R00000X) |
United | 37246 | $3630.03 | 1548640808 - DANIEL CATER | 350593390 - DEACONESS HOSPITAL INC | IN | Pediatric Critical Care Medicine Physician (2080P0203X) |
United | 37246 | $1667.84 | 1164842415 - KARNIKA AYINAPUDI | 350593390 - DEACONESS HOSPITAL INC | IN | Clinical Cardiac Electrophysiology Physician (207RC0001X) |
United | 37246 | $2340.13 | 1194014621 - SHACARA WILSON | 852733660 | FL | Single Specialty Group (193400000X) |
United | 37246 | $3851.80 | 1326492802 - ZACHARY OMAN | 900743550 | MO | Internal Medicine Physician (207R00000X) |
United | 37246 | $3689.08 | 1255478004 - CHRISTOPHER RAIO | 111635088 - MERCY MEDICAL CENTER | NY | Emergency Medicine Physician (207P00000X) |
United | 37246 | $5534.97 | 1255478004 - CHRISTOPHER RAIO | 113438973 - ST JOSEPH HOSPITAL | NY | Emergency Medicine Physician (207P00000X) |
United | 37246 | $1322.81 | 1518928217 - EYE CENTER INC | 650456365 - (FL) EYE CENTER, INC. | FL | Single Specialty Group (193400000X) |
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 37246 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37246 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 37246 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) |
| 37246-CPT | High | Transluminal Balloon Angioplasty (Except Lower Extremity Artery(Ies) For Occlusive Disease Intracranial Coronary Pulmonary Or Dialysis Circuit) Open Or Percutaneous Including All Ima-Ging And Radiological Supervision And Interpreta- Tion Necessary To Perform The Angioplasty Within The Same Artery; Initial Artery |
| 37247-CPT | Moderate | Transluminal Balloon Angioplasty (Except Lower Extremity Artery(Ies) For Occlusive Disease Intracranial Coronary Pulmonary Or Dialysis Circuit) Open Or Percutaneous Including All Ima-Ging And Radiological Supervision And Interpreta- Tion Necessary To Perform The Angioplasty Within The Same Artery; Each Additional Artery (List Separately In Addition To Code For Primary Proce- Dure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 37246. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37246 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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