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    v1.0.30
    OpenPayerBilling CodesEndovascular RevascularizationCPT cpt-37246-percutaneous-balloon-angioplasty-artery
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    CPT 37246: Percutaneous Balloon Angioplasty of Non-Coronary Artery

    Medicare pays $1818 on average nationally for this procedure.

    CPT code 37246 describes percutaneous balloon angioplasty of an arterial lumen using a balloon-tipped catheter with inflation as needed to restore blood flow; the service includes all imaging guidance and radiological supervision and interpretation required to perform the procedure and is intended for non-dialysis circuit, non-lower extremity, non-intracranial, non-coronary, and non-pulmonary arterial interventions. Service type: image-guided endovascular therapeutic procedure (angioplasty). Typical site of service: hospital outpatient department or ambulatory surgery center where endovascular procedures and fluoroscopic imaging are performed.

    For related coverage guidance, see recent payer policy updates: Automated Ambulatory Blood Pressure Monitoring for Diagnosis of Hypertension in Patients with Elevated Office Blood Pressure, Cardiology - Ivabradine, Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA).

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    Table of contents

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    Clinical & Coding Specifications

    Clinical Context

    A 68-year-old patient with a history of peripheral arterial disease (PAD), hypertension, hyperlipidemia, and intermittent claudication presents with progressive exertional leg pain and an ankle-brachial index (ABI) of 0.6 in the affected limb. Noninvasive testing (Duplex ultrasound and/or CTA) demonstrates a focal stenotic lesion of a peripheral upper extremity or visceral artery (excluding lower extremity, dialysis circuit, intracranial, coronary, and pulmonary arteries). The vascular interventionalist obtains informed consent and schedules an outpatient endovascular procedure in an angiography suite or interventional radiology operating room.

    On the day of service, the patient arrives fasting, receives moderate sedation per institutional protocols, and is positioned for arterial access (commonly femoral or brachial). Under sterile technique the provider performs percutaneous arterial access, advances a guidewire and catheter under fluoroscopic imaging to the target artery, and performs angiography to localize the lesion. A balloon-tipped catheter is placed into the arterial lumen and the balloon is inflated as many times and at as many points as necessary to restore vessel patency. Imaging guidance and radiological supervision and interpretation (RS&I) are performed throughout. Hemostasis is achieved at the access site, and the patient is monitored in recovery with postprocedure instructions and follow-up arranged for vascular assessment and antiplatelet management.

    Typical site of service: hospital outpatient angiography suite, ambulatory surgery center, or interventional radiology suite. Service type: percutaneous transluminal angioplasty of a noncoronary, nonpulmonary, nonintracranial, non-dialysis, non-lower-extremity arterial target.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    36247Introduction of catheter, arterial system, radiological supervision and interpretation (for diagnostic angiography)Diagnostic angiography often precedes angioplasty to define lesion anatomy and guide intervention
    37241Transcatheter placement of an intraluminal stent(s), open or percutaneous, any vessel of the upper extremity (percutaneous)Stent placement may be performed if angioplasty alone is insufficient to maintain patency
    35476Thrombolytic therapy, transcatheter; infusion for thrombolysis, initial 24-hour infusionUsed when thrombus is present and catheter-directed thrombolysis is required before or with angioplasty
    36011Introduction of non-tunneled vascular catheter; percutaneous, central venous (e.g., for arterial pressure monitoring or infusion)Central access codes may be used when additional vascular access is needed during complex procedures
    99070Supplies and materials (e.g., drugs, sutures, supplies) used during the procedure, unlisted itemsBilled by some facilities for disposable supplies directly related to the procedure

    Related Modifiers

    8 rows

    ModifierDescriptionWhen to Use
    22Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
    23Modifier -23 (Unusual Anesthesia) is used on anesthesia service CPT codes when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia…- Use modifier -23 only on anesthesia CPT codes (00100–01999) when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia because of…
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
    59Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
    62Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
    78CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
    79Modifier 79 indicates a surgical procedure performed during the postoperative global period of a prior surgery that is unrelated to the original procedure. Per AMA/CPT and CMS guidance, it is…- Use modifier 79 when the same physician (or same‑specialty physician in the same group) performs a surgical procedure during the postoperative global period of a prior surgery and the new procedure…

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    207K00000X
    207RP1001X
    208000000X
    207RH0002X
    374T00000X
    207UN0901X
    374700000X
    111NX0100X

    Related ICD-10-CM Codes

    27 rows

    ICD-10-CM CodeDescription
    E10.51Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene
    E11.51Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
    G45.9Transient cerebral ischemic attack, unspecified
    I65.22Occlusion and stenosis of left carotid artery
    I66.9Occlusion and stenosis of unspecified cerebral artery
    I70.201Unspecified atherosclerosis of native arteries of extremities, right leg
    I70.211Atherosclerosis of native arteries of extremities with intermittent claudication, right leg
    I70.212Atherosclerosis of native arteries of extremities with intermittent claudication, left leg
    I70.221Atherosclerosis of native arteries of extremities with rest pain, right leg
    I70.222Atherosclerosis of native arteries of extremities with rest pain, left leg

    Showing 1–10 of 27

    Related Payer Policy Updates

    Specialty: Cardiology1 / 3

    10 rows

    PolicyPayerEffective Date
    Automated Ambulatory Blood Pressure Monitoring for Diagnosis of Hypertension in Patients with Elevated Office Blood PressureBluecross Idaho2026-11-01
    Cardiology - IvabradineCigna2026-10-15
    Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA)univerahealthcare2026-10-15
    Percutaneous Ventricular Assist DeviceUnitedHealthcare2026-10-01
    Cardiovascular Disease Risk AssessmentOscar Health2026-10-01
    Biomarkers for Myocardial Infarction and Chronic Heart FailureOscar Health2026-10-01
    Multiple Procedure Payment Reduction for Diagnostic Cardiovascular ProceduresBlue Cross Blue Shield - Maine2026-10-01
    Left Atrial Appendage Closure Devicesexcellus_health_plan_inc2026-09-17
    Left Atrial Appendage Closure Devicesuniverahealthcare2026-09-17
    Cardiac Omnibus CodesCigna2026-09-15

    Related Codes

    CPT-37236-ARTERIAL-STENT-PLACEMENT-ENDOVASCULAR

    CPT 37236: Arterial Stent Placement via Catheter

    CPT-37237-ADD-ON-ENDOVASCULAR-STENT-PLACEMENT

    CPT 37237: Endovascular Arterial Stent Placement, Add-On

    CPT-37238-VENOUS-STENT-PLACEMENT-CATHETER

    CPT 37238: Venous Stent Placement, Percutaneous or Open

    CPT-37239-SECONDARY-VENOUS-STENT-INSERTION-ENDOVASCULAR

    CPT 37239: Venous Stent Placement, Additional Vein

    CPT-37247-TRANSLUMINAL-BALLOON-ANGIOPLASTY-ADDITIONAL-ARTERIES

    CPT 37247: Transluminal Balloon Angioplasty, Additional Arteries

    CPT-37249-PERIPHERAL-VEIN-BALLOON-ANGIOPLASTY-ADDITIONAL-VEINS

    CPT 37249: Transluminal Balloon Angioplasty of Additional Veins

    CPT-37254-ILIAC-ARTERY-ANGIOPLASTY-BALLOON-DILATION

    CPT 37254: Iliac Artery Angioplasty (Balloon)

    CPT-37256-ILIAC-ARTERY-COMPLEX-LESION-ANGIOPLASTY

    CPT 37256: Iliac Artery Angioplasty for Complex Occlusion

    CPT-37259-ILIAC-ARTERY-STENT-PLACEMENT-ADDITIONAL-VESSEL

    CPT 37259: Iliac Artery Stent Placement, Additional Vessel

    CPT-37262-ILIAC-INTRAVASCULAR-LITHOTRIPSY-DURING-REVASCULARIZATION

    CPT 37262: Intravascular Lithotripsy of One Iliac Artery

    Showing 1–10 of 21

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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