CPT 37247 Transluminal Balloon Angioplasty Reimbursement | OpenPayer

Summary & Overview

CPT 37247: Transluminal Balloon Angioplasty, Additional Arteries

CPT code 37247 represents treatment of one or more additional arteries performed during transluminal balloon angioplasty (TBA). It bundles the angioplasty service with all required imaging guidance, diagnostic imaging, and radiological supervision and interpretation, and excludes use for lower extremity, intracranial, coronary, pulmonary arteries, and the dialysis circuit. Nationally, this code is relevant for hospital and ambulatory surgical settings where endovascular interventions are performed and impacts coding, billing, and utilization tracking for peripheral and non-excluded vascular territories. Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.

Readers will learn the clinical scope of CPT code 37247, practical considerations for site-of-service classification, and the contexts in which the code applies. The publication outlines benchmark and policy topics relevant to payers listed above, including typical use cases, coding boundaries, and elements included in the service (imaging and RS&I). Data not available in the input will be noted where applicable. This summary is intended to inform clinicians, billing professionals, and policy analysts about the code's purpose, common settings, and payer relevance at a national level.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicare37247CPTtransluminal-balloon-angioplastyendovascularinterventional-radiologyangioplastyradiology-supervision-interpretation

Billing Code Overview

CPT code 37247 describes treatment of one or more additional arteries during a transluminal balloon angioplasty (TBA) procedure. The code includes all imaging guidance and diagnostic imaging necessary to perform the angioplasty and all radiological supervision and interpretation (RS&I). This code is not reported for procedures on lower extremity, intracranial, coronary, or pulmonary arteries or the dialysis circuit.

Service type: Endovascular transluminal balloon angioplasty with treatment of additional arteries during the same session
Typical site of service: Hospital-based interventional radiology or vascular procedure suite; outpatient ambulatory surgery center is also common depending on clinical setting

Clinical & Coding Specifications

Clinical Context

A 68-year-old male with progressive lifestyle-limiting claudication due to symptomatic atherosclerotic disease of the iliac and femoral arteries undergoes percutaneous transluminal balloon angioplasty. During the procedure the interventionalist treats the primary target lesion in the superficial femoral artery and, because of significant tandem stenoses, performs angioplasty on one or more additional ipsilateral iliac or femoral arteries during the same session. The workflow includes pre-procedure vascular access (commonly common femoral artery), catheter-directed diagnostic angiography to map lesions, selective guiding catheter placement, balloon angioplasty of the primary artery, then additional balloon angioplasty of one or more adjacent non-coronary, non-intracranial, non-pulmonary, non-dialysis arteries during the same encounter. Fluoroscopic imaging guidance and intra-procedural diagnostic angiography are performed as integral components of the service. Post-procedure hemostasis, observation in the recovery area, and documentation of procedural details, vessels treated, balloon sizes, and immediate angiographic result complete the encounter.

Coding Specifications

Modifier	Description	When to Use
`11`	Normal or initial service	Use when the service represents the physician's usual service without unusual circumstances.

CPT 37266: Complex Femoral/Popliteal Angioplasty (Add-on)

CPT-37238-VENOUS-STENT-PLACEMENT-CATHETER

CPT 37238: Venous Stent Placement via Catheter

CPT-37294-TIBIAL-PERONEAL-STENT-AND-ATHERECTOMY-REVASCULARIZATION

CPT 37294: Tibial/Peroneal Revascularization with Stent and Atherectomy

CPT-37282-TIBIAL-PERONEAL-ANGIOPLASTY-COMPLEX-OCCLUSION

CPT 37282: Angioplasty of Complex Tibial/Peroneal Occlusion

CPT-37280-TIBIAL-PERONEAL-ANGIOPLASTY-BALLOON-ANGIOPLASTY

CPT 37280: Tibial/Peroneal Balloon Angioplasty, Single Lesion

CPT-37281-TIBIAL-PERONEAL-ANGIOPLASTY-ADDITIONAL-VESSEL

CPT 37281: Angioplasty of Additional Tibial/Peroneal Vessel

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

CPT 37256: Angioplasty for Complex Iliac Artery Occlusion

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

CPT 37239: Secondary Venous Stent Insertion, Endovascular

CPT-37236-ARTERIAL-STENT-PLACEMENT-ENDOVASCULAR

CPT 37236: Arterial Stent Placement, Endovascular

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

CPT 37254: Iliac Artery Angioplasty (Balloon Dilation)

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Taxonomy Code	Specialty	Notes
330200000X	Vascular Surgery	Primary specialty performing peripheral transluminal balloon angioplasty.
207RG0200X	Interventional Cardiology	Interventional cardiologists often perform peripheral interventions in some settings.
207RH0000X	Interventional Radiology	Common providers for endovascular peripheral angioplasty using imaging guidance.
2083P0800X	General Surgery	Vascular cases performed by general surgeons with vascular training in some centers.
2080P0202X	Cardiovascular Surgery	Cardiac/vascular surgeons who perform peripheral endovascular procedures.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`I70.213`	Atherosclerosis of native arteries of extremities with intermittent claudication, bilateral legs	Peripheral atherosclerotic disease causing claudication often prompts transluminal angioplasty of iliac/femoral arteries.
`I70.239`	Atherosclerosis of native arteries of extremities with unspecified symptoms, left leg	Peripheral arterial disease presenting with rest pain or non-healing wounds may require angioplasty of multiple arteries.
`I70.31`	Atherosclerosis of bypass graft of the extremities with intermittent claudication	Stenosis in bypass grafts sometimes requires percutaneous balloon angioplasty of grafted arteries.
`I74.3`	Embolism and thrombosis of arteries of the lower extremities	Acute embolic or thrombotic events may be managed with endovascular techniques including balloon angioplasty for residual lesions.
`I70.331`	Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with intermittent claudication	Disease of prosthetic grafts can be treated with angioplasty of multiple segments during the same procedure.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`37186`	Transcatheter placement of intravascular stent(s), peripheral artery, initial vessel	Performed when stent placement is required after balloon angioplasty for residual stenosis or dissection in the treated artery.
`37248`	Transluminal balloon angioplasty, percutaneous, initial vessel; lower extremity, other than iliac	Used for angioplasty of additional lower extremity arteries when coding per-patient/aperture rules differ; selection depends on vessel and payer guidance.
`36010`	Introduction of needle into vein for diagnostic purposes, not commonly billed with angioplasty	May be performed for venous access prior to arterial access in some workflows; rarely reported alongside arterial angioplasty.
`36215`	Selective catheter placement, arterial system; each first order thoracic or abdominal branch, radiological supervision and interpretation	Represents selective catheterization of arterial branches and diagnostic angiography performed as part of lesion localization and treatment planning.
`76937`	Ultrasound guidance for vascular access (e.g., non-vascular injections excluded)	Used when ultrasound guidance is employed for arterial access during angioplasty.

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