2025 CPT code 37191
(Active) Effective Date: N/A Revision Date: N/A Surgical Procedures on the Cardiovascular System - Transcatheter Procedures on Arteries and Veins Surgery Feed
Insertion of an intravascular vena cava filter via an endovascular approach.
Modifiers may be applicable depending on the circumstances.Consult the official CPT manual and payer guidelines for appropriate modifier usage.Examples include modifier 50 for bilateral procedures and modifier 59 for additional vascular families.
Medical necessity for IVC filter placement is established when a patient has a high risk of PE due to DVT, despite appropriate medical management. Contraindications must also be considered.
The physician is responsible for selecting the appropriate access site (femoral or jugular vein), advancing the catheter, deploying the filter under imaging guidance, confirming proper placement, and managing any complications.Post-procedure care and follow-up are also the physician's responsibility.
- Surgery
- Surgery > Surgical Procedures on the Cardiovascular System > Surgical Procedures on Arteries and Veins > Transcatheter Procedures on Arteries and Veins > Other Transcatheteral Procedures
In simple words: This code describes a procedure where a doctor inserts a filter into a large vein (the inferior vena cava) to catch blood clots and prevent them from traveling to the heart or lungs. The doctor uses imaging techniques (like X-rays and ultrasound) to guide the placement of the filter.
Insertion of an intravascular vena cava filter, using an endovascular approach.The procedure includes vascular access, vessel selection, radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed.This code encompasses all services for new IVC filter placement; therefore, individual components such as catheterization or venography should not be separately reported. For open surgical interruption of the inferior vena cava, use code 37619.
Example 1: A patient with a history of deep vein thrombosis (DVT) in the lower extremities is at high risk for pulmonary embolism (PE).The physician performs an IVC filter placement to prevent PE., A patient with recurrent DVT despite anticoagulation requires an IVC filter placement to mitigate the risk of PE., A patient undergoing major lower extremity surgery has a high risk of DVT and PE.A prophylactic IVC filter is placed before surgery.
* Detailed history and physical examination noting risk factors for DVT and PE.* Documentation of prior attempts at DVT prophylaxis, if any.* Imaging studies (ultrasound, venography) demonstrating the presence of DVT or a high risk for DVT and PE.* Operative report detailing the procedure, including the access site, filter type, location of placement, and any complications.* Post-procedure imaging to confirm filter placement.* Patient consent for the procedure.
** This code includes fluoroscopic guidance and associated radiological supervision and interpretation. Ultrasound guidance, if performed, should be reported separately using code 76937.
- Revenue Code: P2F (MAJOR PROCEDURE, CARDIOVASCULAR - OTHER)
- RVU: This information is not available in the provided source.Consult the current CPT codebook and your payer's specific relative value unit (RVU) data for the most accurate information. RVUs vary based on geographic location and payer.
- Global Days: This information is not provided in the source.The global period may vary depending on payer guidelines. Consult your payer's specific guidelines or the CPT codebook for the most accurate information.
- Payment Status: Active
- Modifier TC rule: The TC modifier is not applicable to this code because the entire service is included.
- Fee Schedule: This information is not available in the provided source.Consult your payer's fee schedule for the most accurate information.
- Specialties:Vascular Surgery, Interventional Radiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center