CPT Code 37185: Incisional Thrombectomy of Axillary/Subclavian Vein via Arm

CPT 37185 reports direct incisional thrombectomy of the axillary and subclavian veins accessed through an arm incision.

Procedure Details

• Open surgical exposure of the axillary/subclavian vein via deltopectoral or infraclavicular approach.
• Venotomy and removal of thrombus (often with Fogarty catheter or manual extraction).
• May include venous patch angioplasty or bypass if stenosis present.

Indications

• Acute upper extremity deep vein thrombosis (UEDVT) with failed/thrombolysis contraindication.
• Phlegmasia cerulea dolens (impending venous gangrene).
• Chronic venous occlusion with symptomatic stenosis.

Coding Notes

• Do not report with 37184 (percutaneous mechanical thrombectomy) for same vessel.
• If combined with venous stenting, report 37238/37239 additionally.
• Diagnosis: I82.6- (acute embolism/thrombosis of upper extremity veins).