37265 Vessel angioplasty Medicare reimbursement rates in Kentucky

This code represents endovascular transluminal angioplasty of a complex lesion in an initial vessel in the femoral/popliteal vascular territory. A vascular surgeon, interventional radiologist, or other qualified endovascular specialist typically performs the intervention in a hospital or ambulatory procedure setting to improve blood flow through a diseased lower-extremity artery. The code distinguishes complex angioplasty from simple angioplasty and from treatment that includes stent placement.

Select the code based on the treated territory, the documented lesion characteristics supporting complex classification under CPT guidelines, the intervention performed, and whether this is the initial or an additional vessel. The operative or procedure report should identify the vessel and side, describe the lesion and treatment, and support the complexity designation. The service has a 0-day global period, so same-day preoperative and postoperative care is included. In a same-session multiple-procedure setting, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.