CPT® Code 37186

Add-On Code

Secondary percutaneous transluminal thrombectomy (eg, nonprimary mechanical, snare basket, suction technique), noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injections, provided in conjunction with another percutaneous intervention other than primary mechanical thrombectomy (List separately in addition to code for primary procedure)

The CPT® Code 37186 refers to a specific type of secondary percutaneous transluminal thrombectomy performed on noncoronary, non-intracranial arteries or arterial bypass grafts. This procedure is characterized by the use of various mechanical devices designed to effectively break up and remove blood clots that obstruct blood flow. The thrombectomy is conducted using an arterial catheter, which allows the physician to access the affected area directly. The procedure may involve different techniques, including the use of rotating wires, brushes, or hydrodynamic forces to fragment the thrombus, as well as devices such as microsnares and snare baskets to capture and retrieve the clot. During the procedure, fluoroscopic guidance is utilized to ensure accurate placement of the catheters and devices. Additionally, intraprocedural pharmacological thrombolytic injections may be administered to enhance the dissolution of the clot. It is important to note that this code is specifically used in conjunction with another percutaneous intervention, excluding primary mechanical thrombectomy, and is billed separately from the primary procedure. The complexity of the procedure and the variety of techniques employed underscore the need for precise coding to ensure proper reimbursement and compliance with billing regulations.