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See a sample rate comparisonCPT 37616 Fee Schedule
Last Verified: October 2026
Healthcare 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.
Ligation, Major Artery; Chest
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 23 - Emergency Room 24 - Ambulatory Surgical Center 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $1,070.83 national non-facility rate (2026) · View Medicare rates for 37616 |
| Medicaid Fee Schedule | $839.325 median of the 8 states in the free preview · View Medicaid rates for 37616 |
National average reimbursement for CPT 37616 by major payers:
$1,390.06
$1,509.53
$1,589.38
$1,779.04
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CPT 37616
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Endoscopy & Surgery Center North Houston, LLC, North Houston Endoscopy & Surgery Center
$4,893.00Published rateSequoia Surgical Center Lp, Sequoia Surgical Pavilion
Sequoia Surgical Center Lp
$1,040.00Published rateSpokane Urology, PLLC, Urology Surgery Center Northwest
Spokane Urology, Inc., P.S.
$950.00Published rateDermatology Surgery Center, LLC, Laser & Skin Surgery Center
Dermatology Surgery Center LLC
$417.00Published rateThe Asc At Waugh Chapel
$183.00Published rate
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See a sample payer proposalCPT 37616 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37616 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 37616 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 |
|---|---|---|
| 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 |
| 37615-CPT | Moderate | Ligation, Major Artery; Neck |
| 37616-CPT | High | Ligation, Major Artery; Chest |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 37616. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37616 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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