Summary & Overview

CPT 3552F: Performance Measure Entry

CPT code 3552F is a CPT Category II-style performance measure entry whose specific summary is not provided in the source input. As a coded performance or quality measure, it is used for clinical documentation and quality reporting rather than representing a standalone reimbursable procedure. Nationally, such codes support standardized reporting of care processes and outcomes that inform payer quality programs, value-based arrangements, and population health tracking.

Key payers considered in this context include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an outline of the code's purpose as a performance measure entry, the national relevance of CPT performance codes, and what information is available and missing from the input. The publication will cover benchmarks and reporting considerations where available, policy and payer coverage implications for performance measures, and the clinical context for using performance codes in quality reporting. Specific local coverage decisions, exact service definitions, and related coding elements are not provided in the input and thus are noted as unavailable.

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Billing Code Overview

CPT code 3552F represents a performance measure entry for which no summary description is available in the source data. Service type: Data not available in the input. Typical site of service: Data not available in the input.

Data not available in the input.

Clinical & Coding Specifications

Clinical Context

A typical patient is an adult referred for vascular diagnostic evaluation and possible endovascular intervention for peripheral arterial disease (PAD). The patient presents with exertional claudication or rest pain, diminished distal pulses, and non-healing foot ulceration. Initial assessment includes history, focused vascular exam, ankle-brachial index, and duplex ultrasound. If noninvasive testing suggests significant arterial stenosis or occlusion, the patient is scheduled for digital subtraction peripheral angiography with possible therapeutic angioplasty and stent placement performed in an interventional radiology or vascular surgery suite. The procedure is performed under moderate sedation or monitored anesthesia care. Contrast angiography is used to define lesion anatomy; crossing chronic total occlusions or performing balloon angioplasty and/or stent deployment may follow based on findings. Post-procedure monitoring includes vascular checks, access-site observation, and antiplatelet therapy per vascular team protocol.

Coding Specifications

Modifier	Description	When to Use
`26`	Professional component	When reporting only the physician interpretation of diagnostic imaging separate from facility technical component
`TC`

Taxonomy Code	Specialty	Notes
207P00000X	Vascular Surgery	Primary specialty performing peripheral arterial interventions
207RR0500X	Interventional Radiology	Performs diagnostic and therapeutic angiographic procedures
2080P0005X	Cardiology, Interventional	Performs peripheral interventions in some centers
363L00000X	Physiatry (Interventional Pain Management)	Rarely performs vascular access procedures; included for multidisciplinary teams
261QP2000X	Critical Care Medicine	Provides peri-procedural sedation and management in complex patients

ICD-10 Code	Description	Clinical Relevance
`I70.219`	Atherosclerosis of native arteries of the extremities, unspecified extremity	Common cause of peripheral arterial disease leading to ischemic symptoms evaluated with angiography
`I70.203`	Atherosclerosis of native arteries of the extremities, bilateral legs	Indicates bilateral disease that may prompt angiographic assessment and possible bilateral interventions
`I73.9`	Peripheral vascular disease, unspecified	General diagnosis for patients undergoing diagnostic vascular imaging and interventions
`I70.233`	Atherosclerosis of native arteries of the extremities with ulceration, bilateral legs	Relevant for patients with ischemic ulcers requiring diagnostic angiography to guide revascularization
`I74.3`	Embolism and thrombosis of arteries of the lower extremities	Acute limb ischemia evaluation via angiography to locate and treat embolic occlusions
`R02`	Gangrene	Severe ischemia with tissue loss often necessitating vascular imaging to determine revascularization options
`L97.421`	Non-pressure chronic ulcer of left ankle with necrosis of muscle	Chronic non-healing ulcer potentially related to PAD prompting diagnostic angiography

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`36010`	Introduction of needle or intracatheter, without subcutaneous port or pump, for diagnostic injection or venous access, antecubital vein or internal jugular, femoral vein	Venous access codes used when central venous access is required for sedation or infusion during angiographic procedures
`36215`	Selective catheter placement, arterial system; each first order thoracic, abdominal visceral, or lower extremity branch, within a vascular family	Used when selective catheterization of a named lower extremity artery is performed during angiography
`37220`	Revascularization, endovascular, open or percutaneous, femoral-popliteal artery, unilateral; angioplasty, open or percutaneous, with or without stent	Commonly performed therapeutic procedure following diagnostic peripheral angiography for femoropopliteal lesions
`36247`	Transcatheter placement of intravascular stent(s), each vessel (includes angioplasty within same vessel)	Reported when stent placement is performed in conjunction with angioplasty during the same session
`99070`	Supplies and materials (except spectacles), provided by physician over and above those usually included with the office visit or other services	Used to report additional supplies such as specialized catheters or closure devices when payer allows

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