Forms and Documents
Correctly coded claim forms facilitate the claims process and decrease the likelihood of having claims denied. Below is a list of downloadable forms, interactive files, and other documents designed to facilitate successful claim submissions. Examples of claim forms that you may use when billing for Cathflo and related services are included as well.
Note: Select the appropriate billing code when filing all claims. Billing codes should be based on diagnosis and the services provided.
Indication
Cathflo Activase (Alteplase) is indicated for the restoration of function to central venous access devices (CVADs) as assessed by the ability to withdraw blood.
Safety Information
Cathflo Activase should not be administered to patients with known hypersensitivity to Alteplase or any component of the formulation.
In clinical trials, the most serious adverse events reported after treatment were sepsis, gastrointestinal bleeding, and venous thrombosis.
Please click here for full prescribing information.
