2025 CPT code 37214
(Active) Effective Date: N/A Revision Date: N/A Cardiovascular Surgery - Transcatheter Procedures on Arteries and Veins Surgery Feed
Transcatheter therapy for thrombolysis (excluding coronary arteries), continued treatment on a subsequent day, including catheter removal and vessel closure.
Modifiers may be applicable, such as modifier 50 (bilateral procedure) if performed, and modifier 25 (significant, separately identifiable E/M service performed on the same day).
Medical necessity for transcatheter thrombolysis is determined by the presence of a life-threatening or severely debilitating thromboembolic event that cannot be adequately managed with alternative treatments. Documentation must clearly support the need for this intervention based on the severity of the patient's condition and the potential risks and benefits of the procedure.Specific payer requirements should also be considered.
The physician is responsible for inserting and managing the catheter, administering thrombolytic medication, performing necessary imaging (arteriography/venography), monitoring the patient's response to treatment, adjusting catheter position as needed, stopping the infusion when appropriate, removing the catheter, achieving hemostasis, and closing the access site. Radiological supervision and interpretation are also included within this code.
- 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 covers the doctor's work on a later day of treatment to dissolve a blood clot using a catheter and medication. It includes checking on the clot with imaging, making changes to the catheter, stopping the treatment, removing the catheter, and closing the blood vessel.If the doctor also does other important medical visits on the same day, an extra code for that visit may be necessary.
This CPT code represents the continued transcatheter arterial or venous infusion for thrombolysis on subsequent days (other than the initial and final days) during a course of thrombolytic therapy.It includes follow-up arteriography/venography, catheter position change or exchange (if performed), cessation of thrombolysis, catheter removal, and vessel closure by any method.Radiological supervision and interpretation are included.This code does not include coronary vessels; for those, use other appropriate codes.E/M services related to thrombolysis are included. If a significant, separately identifiable E/M service is performed by the same physician on the same day, report the appropriate level of E/M service with modifier 25.
Example 1: A patient presents with a deep vein thrombosis (DVT) in the femoral vein.After initial treatment with 37211,37213 is used on the second day to continue thrombolytic infusion and perform follow-up venography.The catheter is repositioned due to clot migration.37214 is used on the final day., A patient with a pulmonary embolism (PE) undergoes transcatheter thrombolysis. On the second day of treatment, 37213 is used for continued infusion and imaging, showing improved clot lysis.On day three, with complete lysis and no further need for infusion, 37214 is reported., A patient with an acute arterial occlusion undergoes transcatheter thrombolysis.The initial day is coded with 37211.A subsequent day requires additional infusion and catheter repositioning, coded with 37213. The final day, coded with 37214, shows complete lysis, with catheter removal and hemostasis achieved.
Detailed medical records are necessary, including:
** Always consult the most current CPT manual and payer-specific guidelines for accurate coding and reimbursement.Understanding the nuances of this code series (37211-37214) is crucial for correct billing. This code is only for the continued treatment days of thrombolysis; it does not include the initial or final day of treatment.Ultrasound guidance for vascular access is separately reportable if performed.
- Revenue Code: P2F (Major Procedure, Cardiovascular - Other)
- RVU: This information is not available in provided sources. Consult the current CPT manual or a medical billing resource for RVU data.RVUs vary based on geographic location and other factors.
- Global Days: This code is part of a series (37211-37214) for transcatheter thrombolysis.37211/37212 are used for the initial day, 37213 for subsequent days, and 37214 for the final day.Only one code from this series is reported per calendar day.
- Payment Status: Active
- Modifier TC rule: A Technical Component (TC) modifier is not typically applicable to this code, as the professional component is the primary focus.This assumes the provider is billing for professional services only.Check with payer specific policies.
- Fee Schedule: Historical fee schedule information is not available in the provided sources.Consult a reliable medical billing database or fee schedule for historical payment rates.
- Specialties:Interventional Radiology, Cardiology, Vascular Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center