| CPT | |
|---|---|
| 37193 | 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 |
| ICD-10 Procedure |
The coding advice may or may not be outdated. 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.
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.
Inferior vena cava filter malposition; Malposition of inferior vena cava filter ICD-10-CM Diagnosis Code T82.535A [convert to ICD-9-CM] Leakage of umbrella device, initial encounter Inferior vena cava filter leakage; Leakage of inferior vena cava filter
Inferior vena cava filter leakage; Leakage of inferior vena cava filter ICD-10-CM Diagnosis Code Z98.83 [convert to ICD-9-CM] Filtering (vitreous) bleb after glaucoma surgery status
Presence of other vascular implants and grafts The 2022 edition of ICD-10-CM Z95. 828 became effective on October 1, 2021.
06H00DZInsertion of Intraluminal Device into Inferior Vena Cava, Open Approach. ICD-10-PCS 06H00DZ is a specific/billable code that can be used to indicate a procedure.
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 Once attached, the catheter and the IVC filter are withdrawn from the body.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.
37191CPT code 37191 describes insertion of a vena cava filter through any approach (eg, jugular or fem- oral). This descriptor is appropriate for deployment of a filter device in the superior vena cava, inferior vena cava, or common iliac vein.
ICD-10 Code for Atherosclerotic heart disease of native coronary artery without angina pectoris- I25. 10- Codify by AAPC.
ICD-10-CM Code for Personal history of venous thrombosis and embolism Z86. 71.
IVC filter removal A retrievable IVC filter may be removed when the risk of a blood clot traveling to the lungs has passed or if you can take blood thinners. Your doctor may recommend removing the filter when it's no longer needed. IVC retrieval helps reduce the risks of having an IVC filter in your body.
The doctor or nurse will remove your IV line before you go home. The procedure is usually completed within one hour.
Retrievable IVC filters may be removed once the risk of a clot traveling to the heart and lungs passes, usually after about six months. If blood thinners are unusable and/or the risk of clots continues, a removable filter may remain in place for an extended period of time.
Intravenous Vascular Introduction and Injection ProceduresCPT® Code 36010 in section: Intravenous Vascular Introduction and Injection Procedures.
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.
n. A radiographic depiction of a vena cava.
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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