CPT 37249 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-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 • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • RT - Right side of body • LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 37249 |
National average reimbursement for CPT 37249 by major payers:
$600.43
$797.20
$744.53
$812.08
| 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 37249 | ||||||
United | 37249 | $647.19 | 1942589817 - J.C. MEEROFF MD PA | 592692072 - (FL) JC MEEROFF MD PA | FL | Single Specialty Group (193400000X) |
United | 37249 | $465.05 | 1518002732 - SOUTHWEST FLORIDA CENTER FOR HEARING AND BALANCE P A | 510604534 - (FL) SOUTHWEST FLORIDA CENTER FOR HEARING AND BALANCE P A | FL | Single Specialty Group (193400000X) |
United | 37249 | $824.84 | 1508021684 - MARIUSZ J KLIN M D P A, EMERALD COAST GASTROENTEROLOGY | 20688777 - (FL) MARIUSZ J. KLIN, M.D., P.A. | FL | Single Specialty Group (193400000X) |
United | 37249 | $488.32 | 1134426844 - RIVER OF LIFE OSTEOPATHIC LLC | 273101877 - (FL) RIVER OF LIFE OSTEOPATHIC, LLC | FL | Single Specialty Group (193400000X) |
United | 37249 | $452.70 | 1225007883 - | 592103077 | FL | Specialist (174400000X) |
United | 37249 | $332.33 | 1184161150 - CARE CARDIOLOGY AND VEIN CENTER | 475281619 - (FL) CARE CARDIOLOGY AND VEIN CENTER | FL | Single Specialty Group (193400000X) |
United | 37249 | $1400.00 | 1922344167 - TEXAS HEALTH ARLINGTON MEMORIAL | 750972805 - (TX) TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL | TX | General Acute Care Hospital (282N00000X) |
United | 37249 | $478.39 | 1073560231 - HEARUSA INC, HEARX | 452723671 - AUDIOLOGY DISTRIBUTION, LLC DBA HEARUSA | FL | Single Specialty Group (193400000X) |
United | 37249 | $695.85 | 1154709160 - DANIEL GONZALEZ-MORALES | 593043869 - (FL) BAY AREA CARDIOLOGY ASSOCIATES, P.A | FL | Single Specialty Group (193400000X) |
United | 37249 | $196.27 | 1437191376 - LOCKE BARBER | 10315414 - (ME) X-RAY PROFESSIONAL ASSOCIATION | FL | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 37249 | $141.91 | 1740242593 - PEDIATRIC CARE GROUP, PA | 593128808 - (FL) PEDIATRIC CARE GROUP PA | FL | Single Specialty Group (193400000X) |
United | 37249 | $457.80 | 1124375043 - AREEJ SALEM, LLC | 460682070 - (FL) AREEJ SALEM LLC | FL | Single Specialty Group (193400000X) |
United | 37249 | $410.94 | 1730186792 - CLAY PRIMARY & FAMILY CARE LLC | 593060016 - (FL) CLAY PRIMARY & FAMILY CARE CEN | FL | Single Specialty Group (193400000X) |
United | 37249 | $2264.94 | 1962834671 - VINAYAK THAKUR | 390806261 - THE MEDICAL COLLEGE OF WISCONSIN INC | FL | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 37249 | $472.67 | 1750448163 - PHYSICIAN ASSOCIATES OF JACKSONVILLE, PA | 593611260 - (FL) PHYSICIAN ASSOCIATES OF JACKSO | 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 |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 37249 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37249 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 37249 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 |
| 37249-CPT | Moderate | Transluminal Balloon Angioplasty (Except Dialysis Circuit) Open Or Percutaneous Including All Ima-Ging And Radiological Supervision And Interpreta- Tion Necessary To Perform The Angioplasty Within The Same Vein; Each Additional Vein (List Se- Parately 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 37249. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37249 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 37249) and we'll show you how you compare in 15 minutes or less.