CPT 37248 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 • RT - Right side of body • LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 37248 |
National average reimbursement for CPT 37248 by major payers:
$1,565.43
$2,022.66
$2,088.31
$2,238.61
| 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 37248 | ||||||
United | 37248 | $2310.10 | 1265412308 - FRED WITTENSTEIN | 593214635 - FLORIDA HOSPITAL MEDICAL GROUP INC | FL | Diagnostic Radiology Physician (2085R0202X) |
United | 37248 | $1610.48 | 1275830960 - CENTRAL FLORIDA EAR, NOSE AND THROAT SPECIALISTS, PA | 593563247 - (FL) CENTRAL FLORIDA EAR NOSE AND THROAT SPECIALISTS PA | FL | Specialist (174400000X) |
United | 37248 | $1296.94 | 1427120484 - LEHIGH PULMONARY ASSOCIATES, INC, FLORIDA LUNG & SLEEP ASSOCIATES | 383663582 - (FL) LEHIGH PULMONARY ASSOCIATES | FL | Specialist (174400000X) |
United | 37248 | $1696.55 | 1477762847 - KEVIN WATSON | 463936183 - (LA) LMG, LLC | LA | Orthopaedic Surgery Physician (207X00000X) |
United | 37248 | $4620.00 | 1700801909 - TENET HOSPITALS LIMITED, THE HOSPITALS OF PROVIDENCE MEMORIAL CAMPUS | 954537720 | TX | General Acute Care Hospital (282N00000X) |
United | 37248 | $3081.37 | 1730281387 - JOSE FERRER | 203400983 - (FL) GASTRO HEALTH, LLC | FL | Specialist (174400000X) |
United | 37248 | $1108.23 | 1801864137 - MICHAEL ZAHALSKY | 202763393 - (FL) MICHAEL P. ZAHALSKY, MD, PA | FL | Specialist (174400000X) |
United | 37248 | $1107.16 | 1689780041 - JEFFREY BRAUN | 650066183 - (FL) JEFFREY S BRAUN MD PA | FL | Specialist (174400000X) |
United | 37248 | $2860.71 | 1851399224 - JULIO SOMOANO | 260609255 - FLORIDA WOMAN CARE, LLC | FL | Obstetrics & Gynecology Physician (207V00000X) |
United | 37248 | $1626.80 | 1902869837 - ANIL SHRESTHA | 593114490 - (FL) NORTHEAST FLORIDA ENDOCRINE & DIABETES ASSOCIATION, P.A. | FL | Endocrinology, Diabetes & Metabolism Physician (207RE0101X) |
United | 37248 | $3474.00 | 1518208883 - ASC DEVELOPMENT COMPANY, LLC | 203405773 - (MD) ASC DEVELOPMENT COMPANY LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37248 | $12137.00 | 1295772259 - LAKEVIEW MEDICAL CENTER, LLC, LAKEVIEW REGIONAL MEDICAL CENTER | 621596506 | LA | General Acute Care Hospital (282N00000X) |
United | 37248 | $1118.00 | 1689662462 - JESUS NAVARRO | 593068073 - (FL) RENAL HYPERTENSION CENTER | FL | Nephrology Physician (207RN0300X) |
United | 37248 | $3163.07 | 1083680391 - MICHAEL HILL | 593519992 - MICHAEL G HILL MD PA DBA LAKE COUNTY NEUROSURGICAL & SPINAL | FL | Specialist (174400000X) |
United | 37248 | $1549.32 | 1801860655 - DAVID O'CONNOR | 591509899 - (FL) NEW B-RAD | FL | Vascular & Interventional Radiology Physician (2085R0204X) |
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 37248 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37248 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 37248 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 |
|---|---|---|
| 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). |
| 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 |
| 37248-CPT | High | 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; Initial Vein |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 37248. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37248 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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