Radiology Question for the Week of February 1, 2016

Question:

What code do I assign for DIPS (direct intrahepatic portosystemic shunt)? I know there is a bundled code for TIPS (transvenous/transjugular Intrahepatic portosystemic shunt[s]), but not sure about DIPS?    

Answer

According to CPT Assistant (September 2013), the TIPS code (37182) is appropriate to use for DIPS. 

37182Insertion of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract formation/dilatation, stent placement and all associated imaging guidance and documentation)

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