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CPT®
75940

CPT® Code 75940
Deleted

Code deleted, see 37191

Official Description

Percutaneous placement of IVC filter, radiological supervision and interpretation

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 75940 refers to the procedure involving the percutaneous placement of an inferior vena cava (IVC) filter, which is performed under radiological supervision and interpretation. An IVC filter is a medical device designed to prevent pulmonary embolism, a serious condition that can occur when blood clots from the deep veins of the pelvis or lower extremities migrate to the lungs. The procedure begins with a cavogram, which is a diagnostic imaging study that allows the physician to evaluate the vascular anatomy of the inferior vena cava and to rule out the presence of any thrombus (blood clot) within the vessel before the filter is placed. During the actual placement of the IVC filter, the physician utilizes fluoroscopy or other radiological techniques to ensure that the filter is positioned correctly and deployed effectively within the IVC. After the procedure, the physician reviews the radiographic images obtained during the placement and generates a written report detailing the findings related to the radiological aspects of the procedure. This comprehensive approach ensures both the safety and efficacy of the IVC filter placement, contributing to the overall management of patients at risk for pulmonary embolism.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure described by CPT® Code 75940 is indicated for patients who are at risk of developing pulmonary embolism due to the migration of deep vein thromboses (DVT) from the pelvis or lower extremities. The following conditions may warrant the placement of an IVC filter:

  • Prevention of Pulmonary Embolism Patients with a history of DVT or those who have contraindications to anticoagulation therapy may require an IVC filter to prevent the occurrence of pulmonary embolism.
  • Acute Thromboembolic Events Individuals experiencing acute thromboembolic events may benefit from immediate placement of an IVC filter to mitigate the risk of clots traveling to the lungs.
  • Recurrent Thromboembolism Patients with recurrent thromboembolic events despite anticoagulation therapy may be candidates for IVC filter placement as a preventive measure.

2. Procedure

The procedure for the percutaneous placement of an IVC filter involves several critical steps to ensure successful implementation and patient safety. The following outlines the procedural steps:

  • Step 1: Patient Preparation The patient is prepared for the procedure, which includes obtaining informed consent, ensuring appropriate imaging studies are available, and positioning the patient for optimal access to the inferior vena cava.
  • Step 2: Cavogram A cavogram is performed prior to the placement of the IVC filter. This imaging study allows the physician to assess the vascular anatomy of the inferior vena cava and to check for any thrombus present in the vessel. This step is crucial for determining the appropriate placement of the filter.
  • Step 3: Accessing the Vascular System The physician gains access to the vascular system, typically through the femoral vein or jugular vein, using a catheterization technique. This access point is essential for the subsequent placement of the IVC filter.
  • Step 4: Filter Placement Under fluoroscopic guidance, the IVC filter is advanced through the catheter and positioned within the inferior vena cava. The physician ensures that the filter is deployed correctly to capture any potential emboli while allowing normal blood flow.
  • Step 5: Verification After the filter is placed, the physician verifies its position using fluoroscopy, ensuring that it is correctly situated and functioning as intended.
  • Step 6: Post-Procedure Imaging Following the placement, additional imaging may be performed to confirm the successful deployment of the IVC filter and to assess for any immediate complications.
  • Step 7: Documentation The physician reviews the radiographs obtained during the procedure and prepares a written report detailing the radiological supervision and interpretation, as well as the findings related to the IVC filter placement.

3. Post-Procedure

After the completion of the IVC filter placement procedure, the patient is monitored for any potential complications, such as bleeding or infection at the access site. The physician may provide specific post-procedure care instructions, which could include activity restrictions and follow-up imaging studies to ensure the filter remains in the correct position and functions properly. Patients are typically advised to report any unusual symptoms, such as leg swelling or pain, which may indicate complications. Follow-up appointments are essential for ongoing assessment of the IVC filter and the patient's overall vascular health.
Short Descr X-RAY PLACEMENT VEIN FILTER
Medium Descr PRQ PLMT IVC FILTER RS&I
Long Descr Percutaneous placement of IVC filter, radiological supervision and interpretation
Status Code Active Code
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 1 - Diagnostic Tests for Radiology Services
Multiple Procedures (51) 0 - No 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) 0 - 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 Discontinued Code
Type of Service (TOS) 6 - Therapeutic Radiology
Berenson-Eggers TOS (BETOS) none
MUE Not applicable/unspecified.
CCS Clinical Classification 226 - Other diagnostic radiology and related techniques
Date
Action
Notes
2012-01-01 Deleted Code deleted, see 37191
2011-01-01 Changed Short description changed.
Pre-1990 Added Code added.
Code
Description
Code
Description
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