Bundled IVC Filter Codes: 2012

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Question:

I noticed that the code of placement of an inferior vena cava (IVC), 37620, has been deleted in the CPT 2012 manual. How do we code for this in 2012?

Answer:

CPT 2012 has developed three new percutaneous codes for the placement, repositioning and removal of IVC filters. 37620, the code used previously for IVC placement, was an open code for ligation of the inferior vena cava and therefore considered inappropriate and overvalued for percutaneous placement. The new codes, described below, are now specific for percutaneous placement, repositioning, and removal and now include all catheterization and image guidance. These activities should not be separately reported.

37191 Insertion 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
37192 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
37192 Retrieval (removal) 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

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