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BackTable / VI / Article
2025 Uterine Fibroid Embolization CPT Code
Bryant Schmitz • Updated Jan 1, 2025 • 39 hits
Uterine fibroid embolization (UFE) is a minimally invasive procedure used to treat uterine fibroids, which are noncancerous growths in the uterus. This procedure involves blocking the blood supply to the fibroids, causing them to shrink. Understanding the uterine fibroid embolization CPT code is essential for medical billing and coding, ensuring proper reimbursement for healthcare providers.
Table of Contents
(1) CPT Code for Uterine Fibroid Embolization
(2) Detailed Description of CPT Code 37243
(3) Coding & Billing Considerations
(4) Why Proper Coding Is Important
(5) What is a CPT Code?
(6) Disclaimer
CPT Code for Uterine Fibroid Embolization
The CPT code for Uterine Fibroid Embolization is 37243. This code specifically refers to the transcatheter embolization or infusion for treatment of uterine fibroids.
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Detailed Description of CPT Code 37243
• CPT Code: 37243
• Code Description: Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction.
• Inclusions: The code includes all the necessary imaging and guidance required to perform the embolization, ensuring comprehensive coverage of the procedure.
• Exclusions: It does not cover the initial consultation, pre-procedural evaluations, or follow-up visits, which need to be billed separately.
Coding & Billing Considerations
• Ensure accurate documentation of the procedure, including pre-procedural imaging and consultations.
• Use the appropriate ICD-10 code for the diagnosis of uterine fibroids, such as D25.0 (Submucous leiomyoma of uterus), D25.1 (Intramural leiomyoma of uterus), or D25.2 (Subserosal leiomyoma of uterus).
• Additional codes may be required for related services, such as anesthesia (CPT 01996 for daily hospital management of epidural) and follow-up imaging (CPT 74177 for CT of the abdomen and pelvis with contrast).
Why Proper Coding Is Important
Understanding the CPT code 37243 for Uterine Fibroid Embolization is crucial for proper medical billing and coding. This code ensures that healthcare providers are reimbursed accurately for the comprehensive service provided during the UFE procedure. Accurate documentation and appropriate use of additional codes for related services will facilitate smooth billing and reimbursement processes.
By following these guidelines, healthcare providers can ensure that they are coding UFE procedures correctly, leading to efficient and accurate billing practices.
What is a CPT Code?
CPT stands for Current Procedural Terminology. These codes are used by medical professionals to describe procedures and services performed. CPT codes are crucial for the billing process, allowing healthcare providers to communicate with insurance companies and other payers about the procedures performed.
Disclaimer
The information provided here reflects our understanding of the procedure(s) and/or device(s). This information should not be construed as authoritative. We encourage you to consult CMS.
Podcast Contributors
Dr. Gary Siskin
Dr. Gray Siskin is a professor and Chair of the Department of Radiology and Chief of the Division of Vascular & Interventional Radiology at Albany Med Health System in New York.
Dr. Christopher Beck
Dr. Chris Beck is a practicing interventional radiologist with Regional Radiology Group in New Orleans.
Cite This Podcast
BackTable, LLC (Producer). (2024, October 22). Ep. 490 – Uterine Fibroid Embolization: My Algorithm with Dr. Gary Siskin [Audio podcast]. Retrieved from https://www.backtable.com
Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.
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