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CPT 37249: Peripheral Vein Balloon Angioplasty, Additional Veins
Headline: CPT code 37249: Peripheral vein balloon angioplasty for additional veins
Lead: CPT code 37249 covers endovascular balloon angioplasty performed in one or more additional peripheral veins (excluding the dialysis circuit) following angioplasty of an initial vein. The code bundles imaging guidance and radiological supervision and interpretation, reflecting a single-encounter, image-guided venous intervention.
What the code represents and why it matters: CPT code 37249 designates targeted balloon angioplasty of additional peripheral veins during the same session to restore patency and improve venous blood flow. It matters nationally because endovascular venous interventions are increasingly used to manage obstructive venous disease and complications of vascular access, and precise coding affects billing, quality measurement, and resource allocation across hospital outpatient and ambulatory settings.
Key payers covered: Analysis commonly addresses coverage and payment policies from Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Overview of what readers will learn: Readers will find clinical context for the procedure, typical sites of service, payer landscape and coverage considerations, coding relationships (including bundled imaging and RS&I), and benchmark-oriented policy updates where available. The publication clarifies what CPT code 37249 represents, the setting in which it is delivered, and the implications for billing and administrative workflows.
Data note: Data not available in the input for payer-specific rates, associated taxonomies, and ICD-10 diagnoses.
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Billing Code Overview
CPT code 37249 describes an endovascular transluminal balloon angioplasty procedure performed on one or more additional peripheral veins (excluding the dialysis circuit) after an initial vein has already undergone angioplasty. The provider advances a balloon catheter into the lumen of the target vein(s) and inflates the balloon as many times and at as many points as necessary within the same vein to open the vessel and improve blood flow. The service includes all imaging guidance and diagnostic imaging necessary to perform the angioplasty and all radiological supervision and interpretation (RS&I).
Service type: Endovascular peripheral venous angioplasty (balloon), non-dialysis veins
Typical site of service: Hospital outpatient department, ambulatory surgery center, or interventional radiology suite