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See a sample rate comparisonCPT 37799 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.
Unlisted Procedure Vascular S, Unlisted Procedure Vascular Surgeryunlisted Proce Dure Vascular Surgery
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 37799 |
| Medicaid Fee Schedule | $520.81 median of the 3 states in the free preview · View Medicaid rates for 37799 |
National average reimbursement for CPT 37799 by major payers:
$1,177.95
$329.44
$864.37
$1,138.12
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CPT 37799
5 of 25 sample ratesHigher to lower in this preview
Campus Eye Group Asc Inc, Surgicenter Anesthesia Associates
$1,708.00Published ratePatient Partners LLC
$893.00Published rateRome Orthopaedic Clinic Asc, Inc.
Rome Orthopaedic Clinic Asc Inc
$637.00Published rateSurgical Specialty Suites, Inc
Surgical Specialty Suites Inc
$350.00Published rateAssociates Surgery Centers, LLC
Associates Surgery Centers LLC
$163.00Published rate
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See a sample payer proposalCPT 37799 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37799 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 37799 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 |
|---|---|---|
| 37619-CPT | High | Surgery To Close Large Vein, Surgery To Close Off A Section Of The Vena Cava The Largest Vein In The Body. |
| 37650-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. |
| 37660-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. |
| 37799-CPT | High | Unlisted Procedure Vascular S, Unlisted Procedure Vascular Surgeryunlisted Proce Dure Vascular Surgery |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 37799. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37799 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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Frequently Asked Questions
CPT stands for Current Procedural Terminology. CPT codes are standardized five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services. They are essential for billing and processing insurance claims, as they accurately describe the procedures and services rendered to patients.
Finding the cost of a medical procedure in advance can be challenging due to varying prices between providers, insurers, and locations. To get an estimate for your specific situation, it's recommended to use tools designed for this purpose. You can use platforms like Payerprice, which offer a fee schedule lookup tool where you can search with a CPT code and your specific location to get relevant pricing information.
Healthcare price transparency is the movement to make the costs of medical services readily available and understandable to consumers. The goal is to empower patients to make informed decisions about their care by knowing what they might pay before receiving services, fostering competition among providers, and potentially lowering healthcare costs overall.
For specific pricing tailored to your location and the CPT code of the procedure you need, you should use a dedicated price transparency tool. Payerprice offers a fee schedule lookup tool that allows users to search with a CPT code and their specific location to find relevant pricing data. This can help you understand potential costs before your appointment.
CMS (Centers for Medicare & Medicaid Services) is a federal agency that administers Medicare, Medicaid, and the Children's Health Insurance Program (CHIP). While CMS establishes payment rates for services covered by these programs, which can influence market rates, its data primarily reflects government program pricing. For individuals looking for specific commercial insurance or self-pay rates, or for a broader market view, it's best to consult resources like Payerprice which aggregate diverse fee schedules.