2025 HCPCS code C7535

Femoropopliteal artery stenting and angioplasty with IVUS.

This code is specific to procedures involving both femoropopliteal stenting and IVUS. If IVUS is not used, a different code should be selected.Appropriate modifier(s) should be appended to indicate laterality (RT or LT).

Modifiers such as 22 (Increased Procedural Services), 52 (Reduced Services), 76 (Repeat Procedure or Service by Same Physician), 77 (Repeat Procedure by Another Physician), LT (Left side), and RT (Right side) may be applicable.

Medical necessity must be established by documenting the patient's symptoms, impaired blood flow to the leg, and the clinical rationale for intervention.Conservative treatments should be attempted and documented before resorting to stenting, unless contraindicated.

The physician is responsible for prepping and anesthetizing the patient, accessing the vascular system, introducing the guidewire and catheters, deploying the stent(s), performing angioplasty if necessary, confirming vessel patency, and completing the procedure. They also oversee the radiological supervision and interpretation.

In simple words: This procedure opens up blocked arteries in the leg using a small metal tube called a stent. The doctor uses a special ultrasound camera inside the artery to see exactly where the blockage is and make sure the stent is placed correctly.

The provider uses stenting and possibly angioplasty to restore the blood supply in a narrowed or blocked femoral or popliteal artery (or arteries). The provider also uses intravascular ultrasound (IVUS) to visualize the vessel(s).The procedure involves accessing the vascular system, introducing a guidewire, and advancing a catheter with an ultrasound probe to visualize the target area.Stents are deployed in the diseased artery.A balloon catheter may be used to ensure proper stent placement.Radiological supervision and interpretation are included.

Example 1: A patient presents with claudication in the lower leg due to a stenosis in the femoral artery.The physician performs a femoropopliteal artery stenting with IVUS guidance to restore blood flow., A patient with a blockage in the popliteal artery undergoes stenting and angioplasty with IVUS to alleviate critical limb ischemia., A patient with a history of peripheral artery disease requires stenting in both the femoral and popliteal arteries on the same leg. IVUS is used to ensure accurate placement of the stents.

Documentation should include the reason for the procedure (e.g., claudication, critical limb ischemia), location and severity of the blockage, use of IVUS, type and number of stents placed, use of angioplasty (if performed), and confirmation of vessel patency post-procedure.Radiology reports documenting the IVUS findings should also be included.

** This code is a HCPCS Level II code used primarily by Outpatient Prospective Payment System (OPPS) hospitals.

  • Payment Status: unknown
  • Specialties:Interventional Radiology, Vascular Surgery, Cardiology
  • Place of Service:Outpatient Hospital, Ambulatory Surgical Center
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