2025 CPT code 37212
(Active) Effective Date: N/A Revision Date: N/A Surgery - Vascular Procedures Surgery Feed
Transcatheter venous thrombolysis, initial treatment day, including radiological supervision and interpretation.
Modifiers 25 (significant and separately identifiable E/M service by the same physician on the same day), 50 (bilateral procedure), and potentially others may be applicable based on the specific circumstances.
Medical necessity is established by the presence of a documented symptomatic venous thrombus that poses a significant risk to the patient (e.g., PE, limb ischemia). The benefits of thrombolysis must outweigh the risks.Documentation must support the medical necessity of the procedure.
The physician is responsible for the entire procedure, including catheter insertion, thrombolytic infusion, fluoroscopic guidance, image interpretation, and post-procedure care.
In simple words: This code covers the first day of treatment for dissolving a blood clot in a vein using a catheter to deliver medication.It includes the procedure, imaging, and doctor's supervision.
This CPT code, 37212, reports the initial day of transcatheter thrombolytic infusion(s) in veins.It includes the introduction of a catheter into a vein, infusion of a thrombolytic agent to dissolve a clot, follow-up arteriography/venography (if performed), catheter position changes or exchanges (if performed), and radiological supervision and interpretation.Ongoing evaluation and management services on the procedure day are also included.Ultrasound guidance for vascular access is not included and should be reported separately if performed (e.g., 76937). If a significant, separately identifiable E/M service is performed by the same physician on the same day, report the appropriate E/M level with modifier 25.For bilateral infusions via separate access sites, use modifier 50.
Example 1: A patient presents with a deep vein thrombosis (DVT) in the femoral vein.The physician performs a transcatheter thrombolytic infusion using 37212 for the initial treatment day.Follow-up imaging and management are included., A patient with pulmonary embolism (PE) secondary to DVT undergoes transcatheter thrombolysis.The physician uses 37212 to bill the initial day of treatment.Subsequent days are billed using 37213 and 37214., A patient with bilateral iliac vein thrombosis requires treatment. The physician performs transcatheter thrombolysis in both veins through separate access sites.Code 37212 is used with modifier 50 for the initial treatment day.
* Detailed history and physical examination noting the indication for thrombolysis.* Documentation of the location and extent of the thrombus (e.g., ultrasound, CT scan).* Procedure report detailing catheter placement, type and amount of thrombolytic agent used, fluoroscopic guidance details, and post-procedure assessment.* Imaging studies (before, during, and after the procedure).* Patient's response to therapy and any complications.
** Always consult the most current CPT codebook and payer guidelines for accurate coding and reimbursement.
- Revenue Code: P2F (Major Procedure, Cardiovascular - Other)
- RVU: This information requires reference to specific payer fee schedules and may vary based on location and other factors.RVUs are not directly included in the code description.
- Global Days: The global period is not specified for this code and should be determined based on payer-specific guidelines.
- Payment Status: Active
- Modifier TC rule: The TC modifier is not typically applicable to this code as the service is usually performed by the physician.
- Fee Schedule: Historical fee schedules are not included in this response.Refer to specific payer websites for historical reimbursement data.
- Specialties:Vascular Surgery, Interventional Radiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center