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See a sample rate comparisonCPT 37609 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.
Surgery On Artery Of Head, Surgery On An Artery To The Brain (Temporal Artery). The Procedure May Take A Sample Of Tissue For Testing (Biopsy) Or Blood Flow May Be Cut Off.
| 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 | RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $315.64 national non-facility rate (2026) · View Medicare rates for 37609 |
| Medicaid Fee Schedule | $250.52 median of the 8 states in the free preview · View Medicaid rates for 37609 |
National average reimbursement for CPT 37609 by major payers:
$406.46
$417.47
$458.71
$343.00
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CPT 37609
5 of 25 sample ratesHigher to lower in this preview
Cadence Ambulatory Surgery Center, LLC
$4,015.00Published rateSurgery Center Of Columbia Lp
$1,258.00Published rateCarroll County Ambulatory Surgical Center
$794.00Published rateGolden Triangle Surgicenter Lp
$496.00Published rateNew Vision Cataract Center LLC, New Vision Cataract Center
New Vision Cataract Center LLC
$392.00Published rate
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See a sample payer proposalCPT 37609 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37609 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 37609 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. |
| 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. |
| 37609-CPT | Moderate | Surgery On Artery Of Head, Surgery On An Artery To The Brain (Temporal Artery). The Procedure May Take A Sample Of Tissue For Testing (Biopsy) Or Blood Flow May Be Cut Off. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 37609. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37609 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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