37246 Arterial angioplasty Medicare reimbursement rates in Rhode Island

This code covers balloon dilation of a narrowed artery through an open or percutaneous approach. Interventional radiologists, vascular surgeons, and other qualified physicians may perform it in a hospital or outpatient setting. The code includes imaging and radiological supervision and interpretation needed to guide angioplasty within that artery. It applies to arterial sites outside the separately coded lower-extremity occlusive-disease, coronary, and intracranial services.

Report 37246 for the first artery treated; use 37247 for each additional artery treated in the same session. Count arteries, not lesions, and document the treated vessel, approach, balloon treatment, and any additional arteries. If a stent is placed in the treated artery, its angioplasty is generally included in the stent service. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in one session, the highest-valued is paid in full and others at 50%; bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.