How To Use CPT Code 37799

CPT 37799 describes a vascular surgery procedure for which there is no specific code available. This article will cover the description, official details, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 37799?

CPT 37799 is used to report a vascular surgery procedure that does not have a specific code available. It is used when the provider performs a procedure that is not represented by any of the standard and active CPT codes. This code allows for the reporting of unique or uncommon procedures that do not have a designated code.

2. Official Description

The official description of CPT code 37799 is not available. However, it is important to note that this code should only be used when there is no specific code that accurately represents the procedure performed.

3. Procedure

1. The provider performs a vascular surgery procedure that does not have a specific code available.
2. The procedure may involve the treatment or repair of blood vessels.
3. It is important to document the details of the procedure, including the specific steps taken and any unique aspects of the surgery.
4. Proper documentation is crucial to support the use of CPT code 37799 and ensure accurate billing and reimbursement.

4. Qualifying circumstances

CPT 37799 can be used when the provider performs a vascular surgery procedure that is not represented by any of the standard and active CPT codes. This may occur when the procedure is unique, uncommon, or does not have a specific code available. It is important to consult with the provider to ensure that proper documentation has been done before billing for an unlisted procedure.

5. When to use CPT code 37799

CPT code 37799 should be used when there is no specific code available that accurately represents the vascular surgery procedure performed. It is important to follow CPT guidelines and not choose a code that merely approximates the service provided. If a Category III code is available that describes the procedure, it should be used instead of an unlisted procedure code.

6. Documentation requirements

To support a claim for CPT code 37799, proper documentation is essential. The documentation should include:

• A detailed description of the procedure performed
• Operative notes or other relevant documentation
• A cover letter explaining the reason for choosing the unlisted code instead of a defined, active code
• Comparison to similar codes to justify the claim amount

7. Billing guidelines

When billing for CPT code 37799, it is important to include a cover letter explaining the reason for using the unlisted code. This letter should also include a comparison to similar codes to justify the claim amount. Payers will consider claims with unlisted procedure codes on a case-by-case basis, and payment will be determined based on the documentation provided.

8. Historical information

CPT code 37799 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A provider performs a unique vascular surgery procedure to repair a rare congenital anomaly.
2. A patient requires a complex vascular surgery procedure to treat a rare vascular condition.
3. A provider performs an innovative vascular surgery procedure to address a previously untreatable condition.
4. A patient undergoes a specialized vascular surgery procedure to restore blood flow to a compromised organ.
5. A provider performs a cutting-edge vascular surgery procedure to treat a complex vascular malformation.
6. A patient requires an uncommon vascular surgery procedure to address a rare complication.
7. A provider performs a novel vascular surgery procedure to repair a complex vascular injury.
8. A patient undergoes an innovative vascular surgery procedure to treat a rare vascular tumor.
9. A provider performs a unique vascular surgery procedure to address a challenging vascular pathology.
10. A patient requires an uncommon vascular surgery procedure to treat a rare vascular disease.