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).
