Ultrasound guidance code included with arterial intervention codes

Q.

Is ultrasound guidance CPT^® code 76937 included with the arterial intervention codes 37220–37235?  The descriptions do not say “includes all imaging.”

A.

Endovascular revascularization CPT codes 37220–37235 do not include ultrasound guidance for vascular access (CPT 76937). If all the requirements for CPT code 76937 are met and documented, then you may report it separately. Be aware though, that some payors limit CPT 76937 to certain procedures such as central venous procedures. Medicare considers CPT 76937 to be a Type II add-on code and allows each Medicare Administrative Contractor (MAC) to determine what it may be billed with. The code and full description are as follows:

76937 Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent real-time ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)