In ICD-9-CM, the most specific code that could be assigned for a mechanical breakdown of an IVC filter like the one the patient in this scenario experienced was 996.1, Mechanical complication of vascular device.
Typically, these are coded as follows: 36010 - Catheterization of the IVC (can't place a filter without placing a catheter) 37620 - Placement of IVC filter 75825-59 Diagnostic IVC venography (can't code unless a true diagnostic IVCgram is performed; if done just to lay out anatomy for filter placement do not code)
“An IVC filter serves to prevent clots from traveling through the vena cava vein to the lungs,” says Christy Hembree, CPC, team leader at Summit Radiology Services in Cartersville, Ga. Your surgeon may place a new IVC filter, or reposition or remove an existing filter.
What CPT would be used for an IVC filter placement in the bilateral external iliac veins? Code 37191 is for placement in the superior vena cava, inferior vena cava, or common iliac vein.
ICD-10-CM is able to identify the specific device with code T82. 515A, Breakdown (mechanical) of umbrella device. In addition, ICD-10-CM has specific codes for displacement, leakage and other mechanical complications of IVC filters. So, it's true . . .
CPT code 37193 de- notes endovascular removal of a vena cava filter through any approach (eg, jugular or femoral).
An inferior vena cava (IVC) filter is a small device that can stop blood clots from going up into the lungs. The inferior vena cava is a large vein in the middle of your body. The device is put in during a short surgery. Veins are the blood vessels that bring oxygen-poor blood and waste products back to the heart.
CPT37193Retrieval (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 performedICD-10 Procedure29 more rows
ICD-10 Code for Atherosclerotic heart disease of native coronary artery without angina pectoris- I25. 10- Codify by AAPC.
Intravenous Vascular Introduction and Injection ProceduresCPT® Code 36010 in section: Intravenous Vascular Introduction and Injection Procedures.
During IVC filter removal, doctors place a catheter into the inferior vena cava to grab the small hook located at the end of the filter. Once attached, the catheter and the IVC filter are withdrawn from the body. The FDA recommends that doctors remove retrievable IVC filters once there is no risk of pulmonary embolism.
The IVC is a large blood vessel responsible for transporting deoxygenated blood from the lower extremities and abdomen back to the right atrium of the heart. It has the largest diameter of the venous system and is a thin-walled vessel.
Your IVC filter will be placed by your interventional radiologist. An interventional radiologist is a doctor who specializes in image-guided procedures. They will place the IVC filter in your inferior vena cava by going through a vein in your neck or groin.
Two general types of vena cava filters are available: permanent and retrievable. When retrievable IVC filters are used, it is important to create a plan for removing the filter as soon as protection is no longer needed.
Prophylactic indications for IVC filter placement are those in which a patient does not have VTE, but is at risk of developing DVT and/or PE and cannot receive anticoagulation or be monitored for the development of VTE.
I have always coded an encounter for removal of an IVC filter with Z46.89. Now my auditor is telling me that I should be using Z45.89. I code a lot of these, and I would really appreciate an answer. Who is right?
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