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See a sample rate comparisonHealthcare 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 | 59 - Distinct Procedural Service LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $895.48 national non-facility rate (2026) · View Medicare rates for 37252 |
| Medicaid Fee Schedule | $706.24 median of the 8 states in the free preview · View Medicaid rates for 37252 |
National average reimbursement for CPT 37252 by major payers:

$1,152.36

$1,722.37

$1,669.08

$264.12
Choose a payer to see a sample of rates for CPT 37252.
Olutayo Sogunro
Johns Hopkins University
Minh Nguyen
Methodist Hospital
Brent Davis
Sudharani Dikkala
Kidney Associates Dfw LLC
Rodolfo Garcia
Ultrasound Associates Usa LLC
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Rate Benchmarking
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See a sample payer proposalCPT 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 | Procedure To Remove Blood Clot, Surgery With X-Ray Guidance To Open Up A Blocked Blood Vessel Using A Thin Tube (Catheter). A Balloon At The Catheter Tip Is Inflated To Disrupt The Blockage. The Fragments May Be Pulled Out Manually Or By Giving Clot-Busting Drugs. |
| 37252-CPT | High | Intrvasc Us Noncoronary 1st, Intravascular Ultrasound (Noncoronary Vessel) During Diagnostic Evaluation And/Or Therapeutic Intervention Including Radiological Supervision And Interpretation; Initial Noncoronary Vessel (List Separately In Addition To Code For Primary Procedure) |
| 37253-CPT | Moderate | Intrvasc Us Noncoronary Addl, Intravascular Ultrasound (Noncoronary Vessel) During Diagnostic Evaluation And/Or Therapeutic Intervention Including Radiological Supervision And Interpretation; Each Additional Noncoronary 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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