CPT code 37182 represents transjugular intrahepatic portosystemic shunt (TIPS) creation with stent placement to establish a channel between the portal vein and a hepatic vein for treatment of portal hypertension. This procedure is clinically significant nationwide because it directly addresses life‑threatening complications of portal hypertension, including variceal bleeding and refractory ascites, and often requires coordination across interventional radiology, hepatology, and hospital services. Payers commonly involved in coverage and reimbursement for this procedure include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical indications and service context, national benchmarking and payment considerations for major payers, and notes on documentation and site‑of‑service implications. The publication provides a concise policy and billing reference covering expected settings of care, typical utilization drivers, and what to expect in payer coverage patterns. Data not available in the input is noted where applicable.