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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 | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 51 - Multiple procedures LT - Left side of body 50 - Bilateral Procedure 73 - Discontinued Outpatient Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 37501 |
| Medicaid Fee Schedule | $644.21 median of the 2 states in the free preview · View Medicaid rates for 37501 |
National average reimbursement for CPT 37501 by major payers:

$1,101.10

$352.72

$1,914.53

$746.32
Choose a payer to see a sample of rates for CPT 37501.
Memorial Hermann Surgery Center Richmond, LLC, Memorial Hermann Surgery Center Richmond
Morris Avenue Endoscopy LLC
Morris Avenue Endoscopy, LLC
Bcc West Valley LLC
Clearview Surgery Center, LLC
Clearview Surgery Center LLC
Endoscopy Associates, LLC
Endoscopy Associates LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 37501 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37501 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 37501 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. |
| 37188-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. |
| 37501-CPT | High | Blood Vessel Procedure, Procedure Or Treatment Of Blood Vessels With The Aid Of A Scope (Endoscopy). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 37501. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37501 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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