CPT 37248: Percutaneous or Open Venous Balloon Angioplasty

Medicare pays $1359 and commercial payers pay $2141 on average nationally for this procedure.

CPT code 37248 describes percutaneous or open balloon angioplasty of a vein (excluding dialysis circuit) in which a balloon‑tipped catheter is inserted into the vein lumen and dilated as many times and at as many points as necessary to restore or improve venous blood flow; the service includes all imaging guidance and diagnostic imaging required to perform the angioplasty and all radiological supervision and interpretation. Service type: endovascular/surgical venous angioplasty; typical site of service: hospital outpatient department or ambulatory surgical center, with potential performance in an interventional radiology or vascular surgery suite.

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National Reimbursement Benchmarks

Across national benchmarks for CPT 37248, Medicare’s mean reimbursement of $1,358.70 sits between BUCA’s average commercial mean of $2,140.70 and several large national commercial plans; BUCA’s mean is about $782 higher than Medicare, indicating that BUCA pays materially above the federal average for this code. Blue Cross Blue Shield and UnitedHealth Group show higher commercial means ($2,754.50 and $1,886.20 respectively), while Aetna and Cigna are lower on average; these comparisons place Medicare near the middle of the overall national distribution.

Dispersion measured as P75 minus P25 highlights variability across payers: Blue Cross Blue Shield has the widest interquartile spread at $2,275.40 ($3,575.40 − $1,300.00), followed by UnitedHealth Group at $1,788.60 ($2,617.50 − $828.90), and Cigna at $1,485.90 ($1,927.80 − $430.90). Aetna exhibits the tightest spread among listed commercial plans at $1,113.00 ($1,399.00 − $285.60), while BUCA’s interquartile range is $1,928.70 ($2,892.30 − $963.60). Medicare’s interquartile range is narrow at $167.00 ($1,415.00 − $1,248.00), reflecting relatively consistent locality-based rates.

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CPT 37248: Percutaneous or Open Venous Balloon Angioplasty

Medicare pays $1359 and commercial payers pay $2141 on average nationally for this procedure.

Customize your policy alerts

Sign up for cpt 37248 policy alerts

Get alerted when payer policies referencing 37248 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

National Reimbursement Benchmarks

National Payer Mean Reimbursement Rates

Clinical & Coding Specifications

Clinical Context

A 68-year-old patient with a history of peripheral artery disease presents with progressive exertional leg pain consistent with intermittent claudication. Noninvasive testing (ABI and arterial duplex) and prior clinical assessment localize a flow-limiting stenosis in a superficial femoral vein segment or venous outflow obstruction related to prior bypass graft. The vascular surgery team schedules a percutaneous balloon angioplasty under conscious sedation in an outpatient vascular lab or an inpatient interventional radiology suite depending on comorbidities. The clinical workflow includes pre-procedure consent and history, review of antiplatelet/anticoagulant medications, ultrasound/angiographic confirmation of lesion location, percutaneous venous access, placement of a balloon-tipped catheter into the target vein lumen, serial balloon inflations at the stenotic segments until satisfactory luminal improvement is achieved, completion venography to document flow, hemostasis, and post-procedure monitoring for access site complications and limb perfusion. Radiological supervision and interpretation are performed during angioplasty imaging, and procedure documentation includes details of number of inflations, balloon sizes, lesion lengths, hemodynamic result, and any complications. Typical sites of service are the hospital-based interventional radiology suite, hospital operating room, or outpatient ambulatory surgical center/vascular lab when clinically appropriate.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`37246`	Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation; initial artery	Performed when angioplasty results in flow-limiting dissection or residual stenosis requiring stent placement after balloon angioplasty
`37249`	Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation; each additional vein	Used when additional venous segments require stent placement beyond the initial stented vein during the same session
`75710`	Angiography, extremity, unilateral, radiological supervision and interpretation	Diagnostic or completion angiography performed before or after angioplasty to define lesion and confirm procedural result; reported separately when appropriate
`36245`	Selective catheter placement, arterial system; each first-order thoracic or brachiocephalic branch, within a vascular family	Related selective catheterization codes used in vascular access or diagnostic arterial catheter placement when arterial imaging is needed in the same session

Related Modifiers

9 rows

Modifier	Description	When to Use
26	Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…	- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
50	Modifier –50 (Bilateral Procedure) is appended to a CPT code when an identical procedure is performed on paired anatomical structures during the same operative session. The AMA states to add…	- Use modifier -50 when the same CPT surgical, diagnostic, or radiology procedure is performed on paired anatomical structures (both sides of the body) during the same operative/session by the same…
52	Modifier ‑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…
53	Modifier 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…
59	Modifier 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…
62	Modifier 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…
76	Modifier -76, Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional, is appended when the same provider performs an identical, medically necessary procedure or…	- Use modifier -76 when the same physician or other qualified health care professional performs an identical procedure or service a second (or subsequent) time on the same date of service and the…
78	CPT 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…
79	Modifier 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	Specialty	Notes
2086S0129X	Vascular Surgery Physician	A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
208C00000X	Colon & Rectal Surgery Physician	A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by m…
208600000X	Surgery Physician	A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of s…
2471Q0001X	Quality Management Radiologic Technologist	A radiologic technologist who specializes in quality management.
207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesse…
2278E0002X	Emergency Care Certified Respiratory Therapist	The immediate availability of diagnostic and therapeutic cardiopulmonary services in the assessment and management of trauma victims, patients requiri…
207UN0902X	Nuclear Imaging & Therapy Physician	A nuclear medicine physician who specializes in nuclear imaging and therapy.
101200000X	Drama Therapist	Drama therapists are trained in the intentional use of drama and theatre processes to achieve therapeutic goals. Drama therapists provide psychotherap…

CPT 37241: Venous Occlusion Procedure for Varices and Venous Malformations

CPT-37242-ENDOVASCULAR-ARTERIAL-OCCLUSION-EMBOLIZATION

CPT 37242: Arterial Occlusion/Embolization for AVM, Aneurysm, Pseudoaneurysm

CPT-37243-ENDOVASCULAR-EMBOLIZATION-VASCULAR-OCCLUSION-TUMOR-FIBROID

CPT 37243: Vascular Embolization for Tumors or Organ Ischemia

CPT-37244-VASCULAR-OCCLUSION-HEMORRHAGE-CONTROL

CPT 37244: Vascular Embolization for Hemorrhage Control

References

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.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.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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Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`37246`	Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation; initial artery	Performed when angioplasty results in flow-limiting dissection or residual stenosis requiring stent placement after balloon angioplasty
`37249`	Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation; each additional vein	Used when additional venous segments require stent placement beyond the initial stented vein during the same session
`75710`	Angiography, extremity, unilateral, radiological supervision and interpretation	Diagnostic or completion angiography performed before or after angioplasty to define lesion and confirm procedural result; reported separately when appropriate
`36245`	Selective catheter placement, arterial system; each first-order thoracic or brachiocephalic branch, within a vascular family	Related selective catheterization codes used in vascular access or diagnostic arterial catheter placement when arterial imaging is needed in the same session

Related Modifiers

9 rows

Modifier	Description	When to Use
26	Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…	- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
50	Modifier –50 (Bilateral Procedure) is appended to a CPT code when an identical procedure is performed on paired anatomical structures during the same operative session. The AMA states to add…	- Use modifier -50 when the same CPT surgical, diagnostic, or radiology procedure is performed on paired anatomical structures (both sides of the body) during the same operative/session by the same…
52	Modifier ‑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…
53	Modifier 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…
59	Modifier 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…
62	Modifier 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…
76	Modifier -76, Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional, is appended when the same provider performs an identical, medically necessary procedure or…	- Use modifier -76 when the same physician or other qualified health care professional performs an identical procedure or service a second (or subsequent) time on the same date of service and the…
78	CPT 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…
79	Modifier 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	Specialty	Notes
2086S0129X	Vascular Surgery Physician	A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
208C00000X	Colon & Rectal Surgery Physician	A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by m…
208600000X	Surgery Physician	A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of s…
2471Q0001X	Quality Management Radiologic Technologist	A radiologic technologist who specializes in quality management.
207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesse…
2278E0002X	Emergency Care Certified Respiratory Therapist	The immediate availability of diagnostic and therapeutic cardiopulmonary services in the assessment and management of trauma victims, patients requiri…
207UN0902X	Nuclear Imaging & Therapy Physician	A nuclear medicine physician who specializes in nuclear imaging and therapy.
101200000X	Drama Therapist	Drama therapists are trained in the intentional use of drama and theatre processes to achieve therapeutic goals. Drama therapists provide psychotherap…

CPT 37241: Venous Occlusion Procedure for Varices and Venous Malformations

CPT-37242-ENDOVASCULAR-ARTERIAL-OCCLUSION-EMBOLIZATION

CPT 37242: Arterial Occlusion/Embolization for AVM, Aneurysm, Pseudoaneurysm

CPT-37243-ENDOVASCULAR-EMBOLIZATION-VASCULAR-OCCLUSION-TUMOR-FIBROID

CPT 37243: Vascular Embolization for Tumors or Organ Ischemia

CPT-37244-VASCULAR-OCCLUSION-HEMORRHAGE-CONTROL

CPT 37244: Vascular Embolization for Hemorrhage Control

References

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.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.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.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

CPT 37248: Percutaneous or Open Venous Balloon Angioplasty

Sign up for cpt 37248 policy alerts

National Reimbursement Benchmarks

OpenPayer

CPT 37248: Percutaneous or Open Venous Balloon Angioplasty

Sign up for cpt 37248 policy alerts

National Reimbursement Benchmarks

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

References