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    v1.0.30
    OpenPayerBilling CodesVascular Embolization and Occlusion Procedures on Arteries and VeinsCPT cpt-37248-percutaneous-venous-angioplasty-balloon-dilation
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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.

    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.

    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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    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.

    National Payer Mean Reimbursement Rates

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    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    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 CodeDescriptionRelationship to This Procedure
    37246Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation; initial artery

    Related Modifiers

    9 rows

    ModifierDescriptionWhen to Use
    26Modifier 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…
    50Modifier –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…
    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…
    76Modifier -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…
    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
    2086S0129X
    208C00000X
    208600000X
    2471Q0001X
    207QH0002X
    2278E0002X
    207UN0902X
    101200000X

    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-37241-VENOUS-OCCLUSION-EMBOLIZATION-NON-HEMORRHAGE

    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

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

    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.

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