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TPA infusion

Cindy Posted Mon 04th of March, 2013 18:45:56 PM

How would I code the placement of an infusion catheter left lower extremity and administration of TPA.
Last year I was using 37201, which has been deleted this year. I would also use 36140, 75896,26 with that code.
Please advise.

SuperCoder Answered Wed 06th of March, 2013 02:35:11 AM

In 2013, you should choose from 37211-37214. The codes include thrombolysis and S&I, along with other services. Based on the info given, 37211 seems appropriate for your case (artery, initial day), but compare the documentation to the codes to be sure.

Regarding use of 36140 or a more selective code, CPT guidelines state that “Code(s) for catheter placement(s), diagnostic studies, and other percutaneous interventions (eg, transluminal balloon angioplasty, stent placement) provided may be separately reportable.”

** 37211 - Transcatheter therapy, arterial infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, initial treatment day

** 37212 - Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day

** 37213 - Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during course of thrombolytic therapy, including follow-up catheter contrast injection, position change, or exchange, when performed

** 37214 - Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during course of thrombolytic therapy, including follow-up catheter contrast injection, position change, or exchange, when performed cessation of thrombolysis including removal of catheter and vessel closure by any method

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