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See a sample rate comparisonCPT 37565 Fee Schedule
Last Verified: October 2026
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.
Closure Of Blood Vessel, Surgery To Close Off A Blood Vessel. A Clamp Band Or Other Procedure Can Be Used To Stop Blood Flow.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | RT - Right side of body 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $651.32 national non-facility rate (2026) · View Medicare rates for 37565 |
| Medicaid Fee Schedule | $515.055 median of the 8 states in the free preview · View Medicaid rates for 37565 |
National average reimbursement for CPT 37565 by major payers:
$991.55
$981.83
$1,037.93
$1,163.88
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CPT 37565
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Cleburne
$2,265.00Published rateAll City Family Healthcare Center, Inc.
All City Family Health Care Center, Inc.
$746.00Published rateCentral Ohio Endoscopy Center, LLC
Central Ohio Endoscopy Center LLC
$582.00Published rateAkstein Eye Center, Asc, Akstein Eye Center, Asc
Akstein Eye Center PC
$371.00Published rateOutpatient Eye Surgery Center
$245.00Published rate
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See a sample payer proposalCPT 37565 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37565 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 37565 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. |
| 37565-CPT | Moderate | Closure Of Blood Vessel, Surgery To Close Off A Blood Vessel. A Clamp Band Or Other Procedure Can Be Used To Stop Blood Flow. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 37565. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37565 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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