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CPT 37192: Image-Guided Repositioning of IVC Filter

CPT code 37192 represents an image-guided, percutaneous endovascular procedure to reposition an already placed inferior vena cava (IVC) filter via catheter access through the groin or neck. This procedure matters nationally because IVC filters play a key role in preventing pulmonary embolism when anticoagulation is contraindicated or ineffective, and safe repositioning can reduce complications and preserve filter function without complete device removal.

Key payers addressed in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of clinical context and appropriate sites of service, plus benchmarking and policy-focused content where available. The publication outlines common billing considerations, typical payer coverage patterns, and areas where prior authorization or documentation can affect claim outcomes. It also summarizes coding nuances and related service lines to help clinical and revenue teams align clinical documentation with billing requirements.

This resource is intended for national audiences including clinicians, coding professionals, and healthcare administrators seeking a clear summary of the clinical purpose and billing implications of CPT code 37192. Data not available in the input are noted where necessary elsewhere in the full publication.

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Billing Code Overview

CPT code 37192 describes a percutaneous, image-guided procedure in which a provider inserts a catheter through a vein at the groin or neck and maneuvers it to reposition an existing inferior vena cava (IVC) filter. The procedure uses real-time imaging to visualize the venous anatomy and ensure accurate repositioning of the filter to a more appropriate location within the IVC so the device can prevent thromboemboli from the lower extremities reaching the heart and lungs.

Service type: Image-guided endovascular repositioning of an implanted IVC filter
Typical site of service: Hospital-based interventional radiology suite or operating room; may also occur in specialized outpatient vascular/interventional centers when appropriate

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CPT 37192: Image-Guided Repositioning of IVC Filter

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Billing Code Overview

Service type: Image-guided endovascular repositioning of an implanted IVC filter
Typical site of service: Hospital-based interventional radiology suite or operating room; may also occur in specialized outpatient vascular/interventional centers when appropriate

Clinical & Coding Specifications

Clinical Context

A 62-year-old patient with a previously implanted inferior vena cava (IVC) filter presents for outpatient endovascular repositioning after imaging demonstrates migration of the filter away from the intended infrarenal IVC location. The patient has a history of deep vein thrombosis (DVT) of the lower extremity and an IVC filter was placed prophylactically to prevent pulmonary embolism. The interventional radiology team evaluates preprocedure cross-sectional imaging (CT venography or abdominal ultrasound) and reviews anticoagulation status and renal function. On the day of service, the patient receives sterile prep and local anesthesia with conscious sedation; vascular access is obtained via the common femoral vein (or internal jugular vein) using ultrasound guidance. Under fluoroscopic and digital subtraction angiographic guidance, the provider advances a catheter to the filter, manipulates and repositions the device to the predetermined appropriate level in the IVC, verifies satisfactory placement with contrast venography, and obtains hemostasis at the access site. Postprocedure monitoring includes observation for access complications, vital signs, and instructions regarding resumption of anticoagulation. Typical sites of service are the hospital catheterization laboratory, interventional radiology suite, or ambulatory surgical center. Service type: image-guided endovascular filter repositioning.

Coding Specifications

Modifier	Description	When to Use
`00`	No modifier (basic reporting)	Use when no additional coding modifier applies; standard reporting of the service.
`11`	Physician or other qualified health care professional service	Use to indicate the service was the usual/standard procedural service by the reporting clinician when payer requires this modifier.
`22`	Increased procedural services	Use when work or resource use substantially exceeds the typical service (document justification).
`23`	Unusual anesthesia	Use if procedure required anesthesia beyond local infiltration but not general anesthesia (document reason).
`52`	Reduced services	Use when the procedure was partially reduced or not completed as originally planned.
`53`	Discontinued procedure	Use when procedure was started but discontinued due to extenuating circumstances or patient instability.
`62`	Two surgeons	Use when two surgeons worked together as primary surgeons performing distinct portions of the procedure.
`66`	Surgical team	Use when a surgical team performed the procedure as defined by institutional policy.
`78`	Unplanned return to the operating/procedure room	Use when the patient returns for a related unplanned endovascular procedure during the global period.
`79`	(Not in provided list)	Data not available in the input.
`AS`	Physician assistant, nurse practitioner, or clinical nurse specialist services for Medicare Part B	Use when a qualifying nonphysician practitioner furnishes the service incident-to or under correct billing rules.
`QK`	Medical direction of two, three, or four concurrent anesthesia procedures	Use only if applicable for medically directed concurrent anesthesia during the procedure.
`QX`	CRNA service with medical direction by a physician	Use when a CRNA performed anesthesia with physician medical direction.
`QY`	Medical direction of one certified registered nurse anesthetist (CRNA) by an anesthesiologist	Use when applicable.

Taxonomy Code	Specialty	Notes
2088P0800X	Interventional Radiology	Most common specialty performing image-guided IVC filter repositioning.
207K00000X	Vascular Surgery	Vascular surgeons perform endovascular filter management and repositioning.
207P00000X	Cardiothoracic / Peripheral Vascular Surgery	Peripheral vascular interventionalists may perform this procedure in hybrid OR settings.
163WP0800X	Diagnostic Radiology	Diagnostic radiologists with interventional privileges perform image-guided vascular procedures.
363LF0000X	Interventional Cardiologist	In some centers, interventional cardiologists with endovascular experience perform venous interventions.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`I82.401`	Acute embolism and thrombosis of unspecified deep veins of right lower extremity	DVT is a primary indication for IVC filter placement and may be present in patients requiring filter repositioning.
`I82.402`	Acute embolism and thrombosis of unspecified deep veins of left lower extremity	Same clinical relevance for left-sided DVT prompting IVC filter management.
`I82.403`	Acute embolism and thrombosis of unspecified deep veins of bilateral lower extremities	Bilateral DVT increases embolic risk and relevance for filter positioning.
`Z79.01`	Long term (current) use of anticoagulants	Anticoagulation status influences decision-making for filter management and repositioning.
`T82.89XA`	Other complications of other cardiac and vascular devices and implants, initial encounter	Captures device migration, malposition, or other complications of IVC filters prompting repositioning.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`36200`	Introduction of catheter, arterial system; not otherwise specified	May be used when arterial catheterization is required for access or imaging in a combined arterial/venous procedure.
`36465`	Placement of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump; age 5 years or older	Often performed in the same patient population for venous access needs but not directly related; included when additional venous access procedures are performed.
`37220`	Revascularization, endovascular, open or percutaneous, femoral-popliteal artery; initial artery treated	Represents endovascular skill set; may be performed in the same interventional session when concomitant arterial interventions are required.
`76937`	Ultrasound guidance for vascular access requiring an additional physician or qualified health care professional	Used when ultrasound-guided vascular access is separately reportable and meets payer criteria.
`Radiology only: 77012`	Fluoroscopic guidance for vascular procedures (non-specific)	Fluoroscopic imaging guidance is integral to `37192`; some payers require separate reporting of advanced imaging guidance depending on local policy.

CPT 37191: Inferior Vena Cava Filter Placement

CPT-37193-IVC-FILTER-REMOVAL-PERCUTANEOUS

CPT 37193: Percutaneous Removal of Inferior Vena Cava Filter

CPT-37195-CEREBRAL-THROMBOLYTIC-INFUSION

CPT 37195: Cerebral Thrombolytic Infusion for Clot Dissolution

CPT-37197-PERCUTANEOUS-ENDOVASCULAR-FOREIGN-BODY-REMOVAL

CPT 37197: Percutaneous Endovascular Foreign Body Removal

CPT-37200-TRANSCATHETER-VASCULAR-BIOPSY

CPT 37200: Transcatheter Vascular Biopsy, Intravascular Tissue Sampling

CPT-37211-CATHETER-DIRECTED-THROMBOLYSIS-ARTERIAL

CPT 37211: Catheter-Directed Arterial Thrombolytic Infusion

CPT-37212-CATHETER-DIRECTED-THROMBOLYSIS-VENOUS

CPT 37212: Catheter-Directed Venous Thrombolysis

CPT-37213-CATHETER-DIRECTED-THROMBOLYTIC-INFUSION

CPT 37213: Catheter-Directed Thrombolytic Infusion

CPT-37214-CATHETER-DIRECTED-THROMBOLYTIC-INFUSION

CPT 37214: Catheter-Directed Thrombolytic Infusion

CPT-37215-CAROTID-ARTERY-STENT-PLACEMENT-EMBOLIC-PROTECTION

CPT 37215: Carotid Artery Stent Placement with Embolic Protection

Showing 1–10 of 13

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

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Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`00`	No modifier (basic reporting)	Use when no additional coding modifier applies; standard reporting of the service.
`11`	Physician or other qualified health care professional service	Use to indicate the service was the usual/standard procedural service by the reporting clinician when payer requires this modifier.
`22`	Increased procedural services	Use when work or resource use substantially exceeds the typical service (document justification).
`23`	Unusual anesthesia	Use if procedure required anesthesia beyond local infiltration but not general anesthesia (document reason).
`52`	Reduced services	Use when the procedure was partially reduced or not completed as originally planned.
`53`	Discontinued procedure	Use when procedure was started but discontinued due to extenuating circumstances or patient instability.
`62`	Two surgeons	Use when two surgeons worked together as primary surgeons performing distinct portions of the procedure.
`66`	Surgical team	Use when a surgical team performed the procedure as defined by institutional policy.
`78`	Unplanned return to the operating/procedure room	Use when the patient returns for a related unplanned endovascular procedure during the global period.
`79`	(Not in provided list)	Data not available in the input.
`AS`	Physician assistant, nurse practitioner, or clinical nurse specialist services for Medicare Part B	Use when a qualifying nonphysician practitioner furnishes the service incident-to or under correct billing rules.
`QK`	Medical direction of two, three, or four concurrent anesthesia procedures	Use only if applicable for medically directed concurrent anesthesia during the procedure.
`QX`	CRNA service with medical direction by a physician	Use when a CRNA performed anesthesia with physician medical direction.
`QY`	Medical direction of one certified registered nurse anesthetist (CRNA) by an anesthesiologist	Use when applicable.

Taxonomy Code	Specialty	Notes
2088P0800X	Interventional Radiology	Most common specialty performing image-guided IVC filter repositioning.
207K00000X	Vascular Surgery	Vascular surgeons perform endovascular filter management and repositioning.
207P00000X	Cardiothoracic / Peripheral Vascular Surgery	Peripheral vascular interventionalists may perform this procedure in hybrid OR settings.
163WP0800X	Diagnostic Radiology	Diagnostic radiologists with interventional privileges perform image-guided vascular procedures.
363LF0000X	Interventional Cardiologist	In some centers, interventional cardiologists with endovascular experience perform venous interventions.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`I82.401`	Acute embolism and thrombosis of unspecified deep veins of right lower extremity	DVT is a primary indication for IVC filter placement and may be present in patients requiring filter repositioning.
`I82.402`	Acute embolism and thrombosis of unspecified deep veins of left lower extremity	Same clinical relevance for left-sided DVT prompting IVC filter management.
`I82.403`	Acute embolism and thrombosis of unspecified deep veins of bilateral lower extremities	Bilateral DVT increases embolic risk and relevance for filter positioning.
`Z79.01`	Long term (current) use of anticoagulants	Anticoagulation status influences decision-making for filter management and repositioning.
`T82.89XA`	Other complications of other cardiac and vascular devices and implants, initial encounter	Captures device migration, malposition, or other complications of IVC filters prompting repositioning.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`36200`	Introduction of catheter, arterial system; not otherwise specified	May be used when arterial catheterization is required for access or imaging in a combined arterial/venous procedure.
`36465`	Placement of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump; age 5 years or older	Often performed in the same patient population for venous access needs but not directly related; included when additional venous access procedures are performed.
`37220`	Revascularization, endovascular, open or percutaneous, femoral-popliteal artery; initial artery treated	Represents endovascular skill set; may be performed in the same interventional session when concomitant arterial interventions are required.
`76937`	Ultrasound guidance for vascular access requiring an additional physician or qualified health care professional	Used when ultrasound-guided vascular access is separately reportable and meets payer criteria.
`Radiology only: 77012`	Fluoroscopic guidance for vascular procedures (non-specific)	Fluoroscopic imaging guidance is integral to `37192`; some payers require separate reporting of advanced imaging guidance depending on local policy.

CPT 37191: Inferior Vena Cava Filter Placement

CPT-37193-IVC-FILTER-REMOVAL-PERCUTANEOUS

CPT 37193: Percutaneous Removal of Inferior Vena Cava Filter

CPT-37195-CEREBRAL-THROMBOLYTIC-INFUSION

CPT 37195: Cerebral Thrombolytic Infusion for Clot Dissolution

CPT-37197-PERCUTANEOUS-ENDOVASCULAR-FOREIGN-BODY-REMOVAL

CPT 37197: Percutaneous Endovascular Foreign Body Removal

CPT-37200-TRANSCATHETER-VASCULAR-BIOPSY

CPT 37200: Transcatheter Vascular Biopsy, Intravascular Tissue Sampling

CPT-37211-CATHETER-DIRECTED-THROMBOLYSIS-ARTERIAL

CPT 37211: Catheter-Directed Arterial Thrombolytic Infusion

CPT-37212-CATHETER-DIRECTED-THROMBOLYSIS-VENOUS

CPT 37212: Catheter-Directed Venous Thrombolysis

CPT-37213-CATHETER-DIRECTED-THROMBOLYTIC-INFUSION

CPT 37213: Catheter-Directed Thrombolytic Infusion

CPT-37214-CATHETER-DIRECTED-THROMBOLYTIC-INFUSION

CPT 37214: Catheter-Directed Thrombolytic Infusion

CPT-37215-CAROTID-ARTERY-STENT-PLACEMENT-EMBOLIC-PROTECTION

CPT 37215: Carotid Artery Stent Placement with Embolic Protection

Showing 1–10 of 13

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

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CPT 37192: Image-Guided Repositioning of IVC Filter

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Billing Code Overview

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CPT 37192: Image-Guided Repositioning of IVC Filter

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Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References