With the deletion of CPT code 37210 in 2014, we are left with several new code options for Vascular Embolization and Occlusion procedures. The previous code 37210 included vascular access, vessel selection, embolization, and all radiological supervision and interpretation as well as intraprocedural road mapping, and image guidance necessary to complete the procedure.
The 2014 Edition of CPT details the addition of four new vascular embolization and occlusion codes. The new code range 37241-37244 is used to describe vascular embolization and occlusion procedures, and include all associated radiological supervision and interpretation, intra-procedural guidance and road mapping, and imaging necessary to document completion of the procedure, as well as moderate sedation. Intravascular stents, when used to provide the latticework for deployment of embolization coils, are also included in the embolization procedure codes.
What is not included in the new procedure codes are the codes for catheter placement and diagnostic angiographic studies, which are separately reportable. The diagnostic angiography studies would require a -59 modifier if the requirements are met as detailed in the guidelines preceding code 75600 in the Vascular Procedures, Aorta and Arteries section of CPT.
As per CPT guidelines, only one embolization code should be reported for each surgical field (i.e., the area immediately surrounding and directly involved in a treatment/procedure). Codes 37241-37244 exclude the central nervous system and the head and neck, which continue to be reported with codes 61624, 61626, 61710, and 75894.
The new codes are sequenced related to the indication for the procedure and should be assigned based on the immediate cause for treatment. For uterine fibroid embolization we now assign code 37243 (see CPT descriptor below), as well as separately code for the selective catheter placements and separate diagnostic angiography when performed and documented.
A complete list of the new 2014 CPT code descriptors for embolization and occlusion are as follows;
2014 Current Procedural Terminology (CPT®), American Medical Association. CPT is a registered trademark of the American Medical Association.
This commentary is a summary prepared by McKesson’s Revenue Management Solutions division and highlights certain changes, not all changes, in 2014 CPT® codes relating to the specialty of radiology. This commentary does not supplant the American Medical Association’s current listing of CPT® codes, its documentation in the annual CPT Changes publications, and other related publications from American Medical Association, which are the authoritative source for information about CPT® codes. Please refer to your 2014 CPT® Code Book, annual CPT® Changes publication, HCPCS Book and Payer Bulletins for additional information, including additions, deletions, changes and interpretations that may not be reflected in this document.
CPT is a registered trademark of the American Medical Association (“AMA”). The AMA is the owner of all copyright, trademark and other rights to CPT® and its updates.