2025 CPT code 37192
Effective Date: N/A Surgery - Surgical Procedures on the Cardiovascular System Feed
Repositioning of an existing intravascular vena cava (IVC) filter using an endovascular approach.
Modifiers may apply based on specific circumstances (e.g., increased procedural services, multiple procedures).
Medical necessity for repositioning is established when the existing IVC filter is no longer in the optimal position to prevent pulmonary embolism or causes complications, and repositioning is a safer alternative to removal or placement of a new filter.
The physician selects the access site, inserts a catheter, and uses imaging guidance to reposition the IVC filter within the vena cava. This includes assessing the filter's position, ensuring proper placement, and managing any complications.
In simple words: The doctor repositions a filter inside a large vein (inferior vena cava) to prevent blood clots from traveling to the heart and lungs. This is done through a small incision, using imaging to guide the process.
Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed.
Example 1: A patient with a previously placed IVC filter experiences filter migration, requiring repositioning to maintain its effectiveness., A patient's anatomy necessitates adjustment of the IVC filter position to ensure optimal clot trapping while minimizing complications., A patient undergoes repositioning of their IVC filter due to persistent symptoms despite initial placement.
Documentation should include details of the initial filter placement, the reason for repositioning, the procedure itself (including imaging findings), and any complications encountered.
** This code represents a complete procedure, including vascular access, vessel selection, radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance. Catheter placement, intravascular ultrasound, and conscious sedation are included in this code and should not be reported separately.
- Revenue Code: P2F - MAJOR PROCEDURE, CARDIOVASCULAR - OTHER
- Specialties:Vascular Surgery, Interventional Radiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center