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The procedure described by CPT® Code 37192 involves the repositioning of an intravascular vena cava filter using an endovascular approach. This procedure is typically indicated when a vena cava filter has migrated from its original placement or when it is being used temporarily to prevent complications such as fibrosis or permanent fixation of the filter to the wall of the vena cava. The repositioning process is critical to ensure the filter functions effectively in preventing emboli from reaching the pulmonary circulation. During the procedure, a cavogram is performed to visualize the filter's location and to check for any clots that may be trapped at the filter site, which is essential for patient safety. The physician gains access to the vascular system through either the femoral or jugular vein, utilizing an introducer sheath to facilitate the procedure. Radiological guidance, including ultrasound and fluoroscopy, is employed throughout the process to ensure accurate navigation and positioning of the filter. This comprehensive approach not only aids in the successful repositioning of the filter but also minimizes the risk of complications associated with the procedure.
© Copyright 2025 Coding Ahead. All rights reserved.
The repositioning of an intravascular vena cava filter is performed under specific clinical circumstances. The following indications are explicitly associated with this procedure:
The procedure for repositioning an intravascular vena cava filter involves several critical steps, each performed with precision to ensure patient safety and procedural success:
Post-procedure care involves monitoring the patient for any complications that may arise following the repositioning of the vena cava filter. Patients are typically observed for signs of bleeding or infection at the access site. Follow-up imaging may be required to confirm the proper positioning of the filter and to ensure that there are no complications such as thrombosis. The healthcare team will provide specific instructions regarding activity restrictions and any necessary follow-up appointments to assess the patient's recovery and the filter's function.
| Short Descr | REDO ENDOVAS VENA CAVA FILTR | Medium Descr | REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I | Long Descr | 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 | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Device-intensive procedure added to ASC list in CY 2008 or later; paid at adjusted rate. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P2C - Major Procedure, cardiovascular-Thromboendarterectomy | MUE | 1 | CCS Clinical Classification | 63 - Other non-OR therapeutic cardiovascular procedures |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | X5 | Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2017-01-01 | Changed | Medium description changed and Moderate (Conscious) Sedation flag removed. See new Moderate Sedation category. |
| 2013-01-01 | Changed | Medium Descriptor changed. |
| 2012-01-01 | Added | Added |
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