37183 Revision tips
Also known as: TIPS revision, TIPS restenting, TIPS revision procedure
Revision, replacement, or maintenance of a previously placed transjugular intrahepatic portosystemic shunt (TIPS) due to shunt stenosis or dysfunction.
In Plain Language
fixing a liver shunt; reopening a clogged liver shunt
Clinical Context
TIPS dysfunction occurs in 30-50% of cases; revision required for recurrent variceal bleeding or worsening ascites. Maintain portal decompression.
RVU Breakdown
| Work RVU | 7.55 |
| Total RVU | 7.55 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 7.55, this code ranks in the 48th percentile among Surgery codes — 1.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 37183?
CPT 37183 (Revision tips) is a Surgery code. Revision, replacement, or maintenance of a previously placed transjugular intrahepatic portosystemic shunt (TIPS) due to shunt stenosis or dysfunction.
What is the wRVU value for CPT 37183?
The work RVU for CPT 37183 is 7.55. This code is primarily used by interventional radiology, hepatology.
When is CPT 37183 used?
TIPS dysfunction occurs in 30-50% of cases; revision required for recurrent variceal bleeding or worsening ascites. Maintain portal decompression.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.