37286 Venous stenting Medicare reimbursement rates in Arizona

This code represents endovascular stent treatment of a complex obstruction in the first peripheral vein treated during the procedure. It is used for venous disease such as chronic iliofemoral obstruction, including post-thrombotic narrowing or compression-related obstruction. Interventional radiologists and vascular surgeons commonly perform the work in a hospital or ambulatory procedure suite, using catheter-based access and imaging to cross and treat the lesion. The code distinguishes a complex lesion from a simple one; the stent device alone does not determine that classification.

Report it for the initial treated vein when the procedure meets the complex criteria, and use the additional-vein code for each qualifying subsequent vein. The operative report should identify the treated venous anatomy, the nature and extent of the obstruction, the approach used to cross it, and stent placement. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 identifies bilateral work and is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.