37282 Venous angioplasty Medicare reimbursement rates in Washington

This service restores flow through a diseased or obstructed peripheral vein using endovascular balloon angioplasty. It may be performed by an interventional radiologist, vascular surgeon, or other physician with endovascular expertise, often for chronic venous obstruction such as post-thrombotic disease involving the iliac or femoral veins. The code is for the complex level of treatment and the initial vessel in the intervention; it describes angioplasty, not stent placement.

Select this code when the treated lesion meets the CPT family's complex criteria, and document the target vessel, the lesion and its complexity, and the angioplasty performed. Additional treated vessels are reported using the applicable additional-vessel code rather than as another initial vessel. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.