2025 CPT code 37224
(Active) Effective Date: N/A Revision Date: N/A Surgical Procedures on the Cardiovascular System - Endovascular Revascularization Surgery Feed
Revascularization of a unilateral femoral or popliteal artery using transluminal angioplasty.
Modifiers 50 (bilateral procedure), 51 (multiple procedures), 77 (repeat procedure by another physician), 78 (unplanned return to OR) and others may be applicable depending on the specific circumstances of the procedure. Consult current modifier guidelines.
The medical necessity for this procedure is established by the presence of symptomatic PAD or critical limb ischemia resulting in significant pain, tissue loss, or impaired quality of life.The procedure is medically necessary to improve blood flow to the affected limb.
The physician is responsible for pre-operative assessment, performing the procedure (including accessing the vessel, catheterization, and angioplasty), post-operative monitoring, and follow-up care.
In simple words: This is a procedure to improve blood flow in a blocked artery in the leg. A thin tube with a balloon is inserted into the artery, and the balloon is inflated to open the artery and improve blood flow.
This procedure involves restoring blood flow to a narrowed or blocked femoral or popliteal artery on one side of the body.It's performed using an endovascular, open, or percutaneous approach, with transluminal angioplasty (a balloon catheter is used to widen the artery).The procedure includes accessing the vessel, selective catheterization, crossing the lesion, and the angioplasty itself.
Example 1: A 65-year-old male presents with claudication (leg pain) due to peripheral artery disease (PAD) affecting the left femoral artery.The physician performs a transluminal angioplasty via a percutaneous approach using code 37224., A 72-year-old female with a history of diabetes and hypertension experiences critical limb ischemia in her right popliteal artery. The physician performs an open surgical approach and transluminal angioplasty using code 37224., A 58-year-old male patient presents with acute limb ischemia due to a thrombus in the left femoral artery. The physician performs an emergency transluminal angioplasty under fluoroscopy guidance using code 37224.
* Thorough history and physical examination documenting the patient's symptoms and clinical indication for the procedure.* Pre-operative imaging studies (e.g., ultrasound, angiography) showing the location and severity of the arterial stenosis or occlusion.* Operative report detailing the approach, technique used, and results of the angioplasty.* Post-operative assessment and plan of care.
** This procedure may be performed with or without the use of contrast media.Always ensure accurate documentation of all aspects of the procedure to support medical necessity.
- Revenue Code: P2F (Major Procedure, Cardiovascular - Other)
- RVU: The RVUs vary depending on the geographic location and other factors.Consult the current Medicare Physician Fee Schedule for the most accurate RVU and payment information.
- Global Days : The global period for this procedure is not explicitly defined in the provided sources.Consult the relevant payer's guidelines or local coverage determination.
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier is not typically used with this code, as it represents a complete procedure, unless another service is added to it. In such scenarios modifier 51 might be applied.
- Fee Schedule : The fee schedule varies based on location and payer. Consult the relevant fee schedule or payer's guidelines.
- Specialties:Vascular Surgery, Cardiology, Interventional Radiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center, Office