CPT 0505T: Femoral–Popliteal Endovascular Stent Placement via Transvenous Access
CPT code 0505T represents an endovascular femoral–popliteal stent placement performed via a catheter introduced through a venous access site, with comprehensive intraprocedural imaging, mapping and radiological supervision and interpretation. The code captures a specialized technique used to treat peripheral arterial disease, severe limb ischemia, or disabling claudication in the lower extremity by restoring arterial blood flow through the femoral–popliteal segment. This procedure is clinically significant given the burden of peripheral arterial disease nationally and the importance of minimally invasive options that can reduce recovery time and limb loss risk.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare and Medicare. Readers will find a concise overview of the clinical intent and procedural components represented by the code, the typical sites of service where the procedure is performed, and the common billing modifiers associated with this service. The publication also outlines the payer landscape relevant to reimbursement and coverage considerations and provides context for related service lines in vascular interventional care. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 0505T describes an endovascular procedure that restores blood flow to the femoral–popliteal arterial system by inserting a stent via a catheter introduced through a venous access site. The procedure includes vascular access (via a small puncture over a groin vein or open ipsilateral vascular access), intraprocedural imaging and mapping with arteriography, ultrasound guidance, closure by any method, and radiological supervision and interpretation (RS&I).
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Service type: Endovascular peripheral arterial stent placement (femoral–popliteal) performed via transvenous catheter access with imaging and RS&I
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Typical site of service: Hospital outpatient department or ambulatory surgical center where vascular interventional procedures and intraprocedural imaging are available