37191 Ins endovas vena cava filtr
Also known as: IVC filter insertion, vena cava filter placement, IVC filter
Percutaneous or transvascular insertion of an inferior vena cava filter (IVC filter) via endovascular approach to prevent pulmonary embolism.
In Plain Language
blood clot catcher insertion; vein umbrella placement
Clinical Context
Placed in patients with contraindications to anticoagulation, recurrent pulmonary embolism despite anticoagulation, or massive proximal deep vein thrombosis.
RVU Breakdown
| Work RVU | 4.35 |
| Total RVU | 4.35 |
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 4.35, this code ranks in the 30th percentile among Surgery codes — 1.8x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 37191?
CPT 37191 (Ins endovas vena cava filtr) is a Surgery code. Percutaneous or transvascular insertion of an inferior vena cava filter (IVC filter) via endovascular approach to prevent pulmonary embolism.
What is the wRVU value for CPT 37191?
The work RVU for CPT 37191 is 4.35. This code is primarily used by interventional radiology, vascular surgery.
When is CPT 37191 used?
Placed in patients with contraindications to anticoagulation, recurrent pulmonary embolism despite anticoagulation, or massive proximal deep vein thrombosis.
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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.