Radiology Coding Alert

Reader Question:

Mechaical Thrombolysis

Question: What is the correct surgical code for mechanical thrombolysis of a vein in the lower extremity?

Jennifer Spear, OUHSC
Oklahoma City

Answer: CPT Codes has not assigned a specific code for mechanical thrombolysis of a vein in the lower extremity. You will need to use 37799 (unlisted procedure, vascular surgery) for billing this service. A copy of the detailed report will need to be submitted with the claim to the insurance company. The carrier will then review the report and make a determination for payment. As with billing any of the unspecified codes, be prepared to wait on a decision by the carrier.