TPA

As part of a percutaneous thrombectomy, I injected a bolus of tPA. Can I bill 37201 for the thrombolysis?

Answer:
No.  Per CPT, intraprocedural injection (s) of a thrombolytic agent is included in a percutaneous thrombectomoy and not separately reportable.  37201, continuous infusion of thrombolytic drugs, is reportable for a subsequent or prior infusion of a thrombolytic agent. A continuous infusion means that the thrombolytic is infused through a catheter over several minutes. A bolus injection of tPA is an inclusive part of a thrombectomy and not separately reportable.

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