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See a sample rate comparisonCPT 37246 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.
Trluml Balo Angiop 1st Art, Transluminal Balloon Angioplasty Except Lower Extremity Artery Ies For Occlusive Disease Intracranial Coronary Pulmonary Or Dialysis Circuit Open Or Percutaneous Including All Imaging And Radiological Supervision And Interpretation Necessary To Perform The Angioplasty Within The Same Artery Initial Artery
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $1,746.53 national non-facility rate (2026) · View Medicare rates for 37246 |
| Medicaid Fee Schedule | $1,370.34 median of the 8 states in the free preview · View Medicaid rates for 37246 |
National average reimbursement for CPT 37246 by major payers:
$2,086.83
$2,827.42
$2,879.83
$2,940.62
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CPT 37246
5 of 25 sample ratesHigher to lower in this preview
Virginia Hahn
$8,222.09Published rateWilliam Beaman
$3,851.80Published rateMichael Albring
Deaconess Hospital Inc
$3,630.03Published rateShacara Wilson
$2,340.13Published rateEye Center Inc
Eye Center, Inc.
$1,322.81Published rate
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See a sample payer proposalCPT 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 |
|---|---|---|
| 37246-CPT | High | Trluml Balo Angiop 1st Art, Transluminal Balloon Angioplasty Except Lower Extremity Artery Ies For Occlusive Disease Intracranial Coronary Pulmonary Or Dialysis Circuit Open Or Percutaneous Including All Imaging And Radiological Supervision And Interpretation Necessary To Perform The Angioplasty Within The Same Artery Initial Artery |
| 37247-CPT | Moderate | Trluml Balo Angiop Addl Art, Transluminal Balloon Angioplasty Except Lower Extremity Artery Ies For Occlusive Disease Intracranial Coronary Pulmonary Or Dialysis Circuit Open Or Percutaneous Including All Imaging And Radiological Supervision And Interpretation Necessary To Perform The Angioplasty Within The Same Artery Each Additional Artery List Separately In Addition To Code For Primary Procedure |
| 37248-CPT | High | Blood Vessel Procedure, Angioplasty Is A Procedure To Open A Narrow Or Clogged Blood Vessel Of The Heart. A Balloon-Tipped Catheter Is Inserted To The Site Or Narrowing Or Blockage. The Balloon Is Inflated To Open The Artery And Restore Blood Flow Then Deflated And Removed. |
| 37249-CPT | Moderate | Trluml Balo Angiop Addl Vein, Transluminal Balloon Angioplasty Except Dialysis Circuit Open Or Percutaneous Including All Imaging And Radiological Supervision And Interpretation Necessary To Perform The Angioplasty Within The Same Vein 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 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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