2025 CPT code 37193
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Cardiovascular Surgery - Other Transcatheteral Procedures Surgery Feed
Retrieval (removal) of an intravascular vena cava filter via an endovascular approach.
Modifiers may be applicable depending on circumstances.For example, modifier 50 may be used for bilateral procedures; modifier 78 may be used for an unplanned return to the procedure room.Consult current CPT guidelines for proper modifier usage.
Medical necessity for IVC filter removal is established when the filter is no longer deemed necessary due to resolution of the underlying thromboembolic condition or the presence of complications related to the filter itself (e.g., filter fracture, migration, or penetration of the vena cava wall).
The physician is responsible for selecting the appropriate vascular access site, guiding the catheter to the IVC filter, safely retrieving the filter, and ensuring hemostasis at the puncture site.Post-procedure imaging interpretation is also typically part of the physician's responsibility.
In simple words: This code describes the removal of a filter from a large vein near the heart.A doctor uses a thin tube (catheter) and imaging techniques (like X-rays and ultrasound) to reach and remove the filter. This is done for patients who no longer need the filter.
This CPT code, 37193, encompasses the endovascular removal of an inferior vena cava (IVC) filter.The procedure involves vascular access, vessel selection, and radiological supervision and interpretation using intraprocedural roadmapping and imaging guidance (ultrasound and fluoroscopy, when performed).It includes all necessary steps from initial access to filter retrieval and post-procedure assessment.
Example 1: A 72-year-old patient with a history of atrial fibrillation and multiple previous deep vein thromboses has an IVC filter placed.After a period of anticoagulation therapy, the patient's INR is stable, and the filter is deemed no longer necessary.Code 37193 is used to describe the filter's removal., A 55-year-old patient underwent a complex cardiac surgery that required the placement of an IVC filter to prevent pulmonary emboli.Post-operatively, the patient's condition improves, and the decision is made to remove the filter.Code 37193 is used., A 60-year-old patient, who has a history of recurrent deep vein thrombosis and is on long-term anticoagulant medication, has an IVC filter in place.Over time, the filter migrates partially out of place.To mitigate the risk of emboli and to prevent potential complications, the filter is removed using 37193.
Pre-procedure imaging demonstrating the filter's location and any potential complications (e.g., thrombus formation, migration, perforation).Informed consent documentation.Operative report describing the procedure, including access site, technique used, and any complications encountered.Post-procedure imaging to confirm complete filter removal and to rule out complications.
** Accurate documentation and adherence to CPT guidelines are crucial for proper coding and reimbursement of this procedure.This code encompasses the entire procedure, and separate codes for components (e.g., catheterization, venography) should not be reported.
- Revenue Code: P2F (Major Procedure, Cardiovascular - Other)
- RVU: Information not available in provided sources.RVUs vary based on geographic location and other factors. Consult a current relative value unit database for accurate information.
- Global Days: Information not available in provided sources.The global period will depend on payer-specific policies.
- Payment Status: Active
- Modifier TC rule: Information not available in provided sources.
- Fee Schedule: Information not available in provided sources.Fee schedules vary by payer and geographic location.
- Specialties:Vascular Surgery, Interventional Radiology
- Place of Service:Ambulatory Surgical Center, Hospital (Inpatient or Outpatient), Office