CPT 37252 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 • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • 59 - Distinct Procedural Service • LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 37252 |
National average reimbursement for CPT 37252 by major payers:
$1,152.36
$1,722.37
$1,669.08
$1,727.73
| 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 37252 | ||||||
United | 37252 | $901.07 | 1538835533 - AXIS CARDIOVASCULAR, PLLC | 862995126 - (TX) AXIS CARDIOVASCULAR PLLC | TX | Cardiovascular Disease Physician (207RC0000X) |
United | 37252 | $4378.33 | 1477827525 - OLUTAYO SOGUNRO | 520595110 - JOHNS HOPKINS UNIVERSITY | TX | Surgery Physician (208600000X) |
United | 37252 | $1695.90 | 1164877445 - MATTHEW VAN NORMAN | 760459500 - U T PHYSICIANS | TX | Nephrology Physician (207RN0300X) |
United | 37252 | $1397.21 | 1679579700 - WILLIAM ENGLISH | 832497678 - (TX) NIRP LAREDO PLLC | TX | Vascular Surgery Physician (2086S0129X) |
United | 37252 | $1081.28 | 1689834053 - LONE STAR SURGERY PLLC | 262443751 - (TX) LONE STAR SURGERY PLLC | TX | Surgery Physician (208600000X) |
United | 37252 | $1639.58 | 1316987597 - VALENTE BENAVIDES | 752717545 | TX | Surgery Physician (208600000X) |
United | 37252 | $1639.58 | 1427314780 - ROBERT CORN | 752842177 - (TX) TEXAS VASCULAR ASSOCIATES, P.A. | TX | Vascular Surgery Physician (2086S0129X) |
United | 37252 | $2082.84 | 1891875399 - BRYAN HELSEL | 263557623 - (TN) WELLMONT CARDIOLOGY SERVICES | TX | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X) |
United | 37252 | $1261.48 | 1275798019 - SUDHARANI DIKKALA | 880551615 - (TX) KIDNEY ASSOCIATES DFW LLC | TX | Nephrology Physician (207RN0300X) |
United | 37252 | $1682.35 | 1871588012 - BRENT DAVIS | 823817196 | TX | Interventional Cardiology Physician (207RI0011X) |
United | 37252 | $1335.23 | 1578636304 - BERNDT SCHMIT | 251403958 - (PA) UPMC | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 37252 | $1948.09 | 1255728671 - DENNIS CHOI | 352513001 | TX | Surgery Physician (208600000X) |
United | 37252 | $2915.63 | 1538559232 - VIJAYKUMAR BODAR | 742861174 - (TX) NEW BRAUNFELS CARDIOVASCULAR ASSOCIATES, P.A. | TX | Cardiovascular Disease Physician (207RC0000X) |
United | 37252 | $3320.30 | 1750513693 - SNEHA PARMAR | 760386391 - KELSEY-SEYBOLD MEDICAL GROUP PLLC | TX | Cardiovascular Disease Physician (207RC0000X) |
United | 37252 | $94.91 | 1487736583 - RODOLFO GARCIA | 921988577 - (TX) ULTRASOUND ASSOCIATES USA LLC | TX | Diagnostic Radiology Physician (2085R0202X) |
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 37252 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37252 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 37252 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 |
|---|---|---|
| 37186-CPT | High | Secondary Percutaneous Transluminal Thrombectomy (Eg Nonprimary Mechanical Snare Basket Suction Technique) Noncoronary Non-Intracranial Arterial Or Arterial Bypass Graft Including Fluoroscopic Guidance And Intraprocedural Pharmacological Thrombolytic Injections Provided In Conjuction With Another Percutaneous Intervention Other Than Primary Mechanical Thrombectomy (List Separately In Addition To Code For Primary Procedure) (Revised 01/01/16) |
| 37187-CPT | High | Percutaneous Transluminal Mechanical Thrombectomy, Vein(S), Including Intraprocedural Pharmacological Thrombolytic Injections And Fluoroscopic Guidance |
| 37188-CPT | High | Percutaneous Transluminal Mechanical Thrombectomy, Vein(S), Including Intraprocedural Pharmacological Thrombolytic Injections And Fluoroscopic Guidance, Repeat Treatment On Subsequent Day During Course Of Thrombolytic Therapy |
| 37252-CPT | High | Intravascular Ultrasound (Noncoronary Vessel) During Diagnostic Evaluation And/Or Therapeutic Intervention Including Radiological Supervision And Interpretation; Initial Non-Coronary Vessel (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 37252. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37252 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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