37211 vs 37212 for EKOS cath

hofm04

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

Dx bilateral pulmonary emboli I26.09
Successful placement of EKOS catheters into both right and left main pulmonary arteries via right femoral vein
Peripheral thrombolysis of the left and right pulmonary artery performed

37211 is arterial and 37212 is venous. Do you choose the code by access or final placement? Dr Z Health lists 37211.

Issue CGS A56460 policy does not allow 37211 arterial or 37212 venous for I26.09. Novitas A55237 allows 37212 venous, with I26.09 but not 37211.
 
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