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See a sample rate comparisonCPT 37790 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.
Penis Blood Vessel Surgery, Surgery To Improve Blood Supply To The Penis. The Procedure May Include A Blood Vessel Graft Or Involve Ligaments That Hold The Penis In Place.
| 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 | 78 - Return to OR - related procedure GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $442.23 national non-facility rate (2026) · View Medicare rates for 37790 |
| Medicaid Fee Schedule | $401.24 median of the 8 states in the free preview · View Medicaid rates for 37790 |
National average reimbursement for CPT 37790 by major payers:
$645.17
$678.20
$705.96
$802.36
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CPT 37790
5 of 25 sample ratesHigher to lower in this preview
Hospital For Special Surgery West Side Ambulatory Surgery Center, LLC, Hss West Side Asc, LLC
$9,496.00Published rateHedwig Asc, Houston Premiersurgery Center The Villages
Hedwig Asc
$2,600.00Published rateNorth Pacific Dermatology Ps
$1,849.00Published rateNovamed Surgery Center Of Cleveland LLC, The Surgery Center Of Cleveland
Novamed Surgery Center Of Cleveland LLC
$1,400.00Published rateCentral Arizona Endoscopy LLC
$708.00Published rate
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See a sample payer proposalCPT 37790 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37790 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 37790 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 |
|---|---|---|
| 37788-CPT | High | Penis Blood Vessel Surgery, Surgery To Improve Blood Supply To The Penis. The Procedure May Include A Blood Vessel Graft Or Involve Ligaments That Hold The Penis In Place. |
| 37790-CPT | Moderate | Penis Blood Vessel Surgery, Surgery To Improve Blood Supply To The Penis. The Procedure May Include A Blood Vessel Graft Or Involve Ligaments That Hold The Penis In Place. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 37790. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37790 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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