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See a sample rate comparisonHealthcare 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 | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $346.03 national non-facility rate (2026) · View Medicare rates for 37607 |
| Medicaid Fee Schedule | $271.265 median of the 8 states in the free preview · View Medicaid rates for 37607 |
National average reimbursement for CPT 37607 by major payers:

$475.04

$524.76

$555.57

$606.32
Choose a payer to see a sample of rates for CPT 37607.
Memorial Hermann Surgery Center Northwest, LLP, Memorial Hermann Surgery Center Greater Heights
Memorial Hermann Surgery Center Northwest LLP
Endoscopy Center Of Northern Ohio, LLC
Endoscopy Center Of Northern Ohio LLC
Affiliated Endoscopy Services Of Clifton LLC, Affiliated Endoscopy Services Of Clifton
Affiliated Endoscopy Services Of Clifton LLC
Pacific Cataract And Laser Institute Inc PC
Pacific Cataract And Laser Institute, Inc., PC
Premier Endoscopy Center,LLC
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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 37607 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37607 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 37607 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 |
|---|---|---|
| 37600-CPT | High | Closure Of Blood Vessel, Surgery To Close Off A Blood Vessel. A Clamp Band Or Other Procedure Can Be Used To Stop Blood Flow. |
| 37605-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. |
| 37606-CPT | Moderate | Lig Int/Com Carotid Art Occl, Ligation; Internal Or Common Carotid Artery With Gradual Occlusion As With Selverstone Or Crutchfield Clamp |
| 37607-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 37607. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37607 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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