Summary & Overview

CPT 0744T: Open Bioprosthetic Valve Implantation in Femoral Vein

CPT code 0744T represents an open surgical procedure to implant a bioprosthetic valve in the large femoral vein of the thigh. This code captures a specialized vascular surgical service intended to restore venous valvular competence and address chronic venous insufficiency or other venous pathologies when valve replacement is clinically indicated. Nationally, accurate coding for this procedure affects claims adjudication, coverage determinations, and procedure-level activity tracking for advanced venous therapies.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication summarizes payer coverage patterns, coding and billing considerations, and clinical context for the procedure.

Readers will find a concise clinical description, expected site-of-service settings, and what typical claims reviewers evaluate when processing this type of surgical venous procedure. The content outlines common billing modifiers (listed separately), highlights policy and coverage topics relevant to advanced venous interventions, and points to benchmarks and policy updates where available. Data not available in the input is noted where applicable. This publication is intended for coding professionals, reimbursement analysts, and clinical administrators seeking a clear operational and policy-focused reference for CPT code 0744T.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicare0744TCPTvenous-surgeryfemoral-veinbioprosthetic-valvevascular-surgeryoperative-procedurebilling-and-coding

Billing Code Overview

CPT code 0744T describes an open surgical approach to implant a bioprosthetic valve in the large femoral vein of the thigh. The procedure involves surgically exposing the femoral vein and placing a prosthetic valve to restore or improve venous valve function.

Service type: Open surgical venous valve implantation
Typical site of service: Hospital operating room or inpatient surgical setting; may also be performed in an ambulatory surgery center depending on clinical and facility capabilities

Clinical & Coding Specifications

Clinical Context

A typical patient is an adult with chronic venous insufficiency or post-thrombotic syndrome presenting with symptomatic superficial or deep venous reflux and disabling venous edema, pain, or recurrent venous ulcers of the lower extremity. After conservative therapy (compression, leg elevation, wound care, anticoagulation as indicated) and duplex venous ultrasound documenting significant reflux or valvular incompetence in the large femoral vein of the thigh, the vascular surgery team elects an open surgical approach to implant a bioprosthetic venous valve in the common or superficial femoral vein.

Preoperative workflow includes history and physical, venous duplex mapping, noninvasive arterial assessment as needed, anticoagulation management, and informed consent discussing open venous reconstruction and potential complications (bleeding, infection, graft failure). The procedure is performed in an operating room under general or regional anesthesia with the patient supine. The surgeon exposes the target femoral segment via an open incision, controls proximal and distal flow, and implants a prepared bioprosthetic valve into the venous lumen with appropriate suturing and leak testing. Hemostasis, layered closure, and application of compression dressing follow. Postoperative care includes limb elevation, anticoagulation per protocol, duplex surveillance of valve patency, wound checks, and graduated return to activity. Typical sites of service are the hospital operating room or an ambulatory surgery center equipped for open vascular surgery. Common providers are vascular surgeons, general surgeons with vascular expertise, and occasionally transplant or trauma surgeons experienced in complex venous reconstructions.

Coding Specifications

Modifier	Description	When to Use

Taxonomy Code	Specialty	Notes
2080S00000X	Vascular Surgery	Primary specialty performing venous valve implantation and open venous reconstructions.
2080P0223X	General Surgery	General surgeons with vascular training who perform open venous procedures.
2080N0402X	Thoracic and Cardiac Surgery	In some centers, cardiac/vascular-trained surgeons perform complex venous reconstructions.
207P00000X	Physician Assistant	Common surgical assistant in the operative setting.
364S00000X	Wound Care Specialist	Involved in pre- and post-op management of venous ulcers and wound care.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`I87.2`	Venous insufficiency (chronic) (peripheral)	Primary indication for surgical correction of venous reflux and valve dysfunction in the femoral segment.
`I83.811`	Varicose veins of left lower extremity with ulcer, other part of lower extremity	Chronic venous disease with ulceration may prompt definitive venous reconstruction including valve implantation.
`I82.401`	Acute embolism and thrombosis of unspecified deep veins of lower extremity	History of deep venous thrombosis and post-thrombotic sequelae can lead to valvular destruction and indication for valve replacement.
`I87.321`	Postthrombotic syndrome, right lower extremity	Post-thrombotic venous hypertension producing symptoms amenable to valve reconstruction.
`L97.421`	Non-pressure chronic ulcer of left lower leg with fat layer exposed	Chronic venous ulcers are a downstream complication addressed by correcting venous outflow and reflux.
`R60.0`	Localized edema	Symptomatic limb swelling related to venous insufficiency that may be improved by valve implantation.
`Z79.01`	Long term (current) use of anticoagulants	Common concurrent therapy in patients with prior venous thrombosis undergoing venous procedures.
`I74.3`	Embolism and thrombosis of arteries of lower extremity	Listed for completeness when arterial-venous considerations affect surgical planning; vascular surgeons consider arterial status preoperatively.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`0744T`	Implantation of bioprosthetic valve, open, in large femoral vein of the thigh	Primary procedure: open implantation of a bioprosthetic venous valve in the femoral vein.
`36245`	Selective catheter placement, venous system, radiological supervision and interpretation; initial second order branch, radiological supervision and interpretation	Often used preoperatively or intraoperatively for venography to map venous anatomy or confirm valve position when endovascular imaging is required.
`76937`	Ultrasound guidance for vascular access and percutaneous procedures	Used for preoperative or intraoperative ultrasound localization or venous access guidance.
`36330`	Embolization, venous (e.g., varicose veins)	Performed in staged care when adjunctive embolization of incompetent tributaries is indicated alongside valve implantation.
`36478`	Endovenous ablation therapy of incompetent veins, other than intracranial, percutaneous, radiofrequency, or laser (first vein treated)	Adjunctive treatment for superficial venous insufficiency in the same limb, before or after valve implantation.
`99223`	Initial hospital care, typically 70 minutes or more	Common inpatient evaluation and management code for complex preoperative or immediate postoperative hospital care.