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    OpenPayerBilling CodesIntravascular Ultrasound Procedures on Arteries and VeinsCPT cpt-37258-iliac-artery-stent-placement-initial-vessel-straightforward-lesion
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    CPT 37258: Iliac Artery Stent Placement, Initial Lesion

    Medicare pays $3716 on average nationally for this procedure.

    CPT code 37258 describes placement of a vascular stent, with or without angioplasty, for a straightforward stenotic lesion in an initial iliac artery (common, internal, or external), including all access, catheterization, lesion crossing, and imaging guidance required to complete the procedure; service type: endovascular vascular stent placement (possible adjunct angioplasty); typical site of service: hospital outpatient department, ambulatory surgical center, or specialized endovascular suite for percutaneous or open iliac artery intervention.

    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 male with progressive right-sided claudication and an ankle-brachial index of 0.65 presents after conservative therapy failure. Noninvasive arterial imaging (duplex ultrasound and CT angiography) demonstrates a focal, straightforward atherosclerotic stenosis of the right external iliac artery prompting endovascular intervention. The patient is evaluated in the vascular surgery/vascular interventional radiology clinic, consents for stent placement with possible angioplasty, and is scheduled for a percutaneous endovascular procedure. On the day of service the patient undergoes conscious sedation in an interventional suite or hybrid operating room. Vascular access is obtained (commonly common femoral artery), diagnostic angiography is performed to localize the lesion, lesion crossing with guidewire and catheter is completed, angioplasty is performed if needed, and a stent is deployed in the iliac artery. Imaging guidance (fluoroscopy/angiography) is used throughout. Hemostasis is achieved via manual compression, closure device, or open exposure depending on access. Typical post-procedure workflow includes vascular monitoring in PACU, discharged same day or overnight observation depending on comorbidities, antiplatelet management per vascular team, and follow-up vascular imaging at 1–6 months.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    37228Transcatheter placement of intravascular stent(s), open or percutaneous, including angioplasty when performed; initial additional infrainguinal arterial stent placementPerformed for infrainguinal disease; may be coded if stenting in femoropopliteal segment during same hospitalization (different vascular territory).

    35476 | Insertion, non-tunneled centrally inserted central venous catheter; not otherwise specified (Note: example central venous access codes are not typically related to arterial procedures) | Data not available in the input.

    36200 | Introduction of catheter, aorta, selective, for diagnostic angiography | May be performed prior to iliac stent placement for diagnostic catheterization of the aortoiliac segment.

    37251 | Transcatheter therapy, percutaneous, for treatment of iliac artery disease; balloon angioplasty, each vessel | Used when balloon angioplasty of the iliac artery is performed without stent placement, or in addition to angioplasty prior to stent deployment.

    36011 | Introduction of needle and/or catheter, each vessel, for diagnostic angiography, upper or lower extremity, percutaneous puncture | May be used to report access-related catheterizations when separately reportable.

    76937 | Ultrasound guidance for vascular access requiring ultrasound evaluation and documentation | Often reported when ultrasound guidance is used for femoral arterial access.

    G0328 | Non-invasive physiologic vascular studies, complete bilateral study | Ancillary diagnostic testing often performed pre- and post-procedure to document hemodynamic improvement.

    0474T | Endovascular repair, iliac artery, with stent graft, percutaneous | Used when an iliac stent graft (endograft) is placed rather than simple bare or covered stent; different clinical scenario.

    Note: If a provided list of related CPT codes had been supplied in the input, those codes would be listed here. If any related code lists are missing from the input, use clinical knowledge to include commonly associated codes.

    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…
    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…
    51Modifier –51 (Multiple Procedures) is used when the same provider performs multiple procedures in the same session to identify secondary, non‑exempt procedures and indicate payment reduction logic…- Use modifier -51 when the same provider performs multiple distinct procedures during the same patient encounter: report the highest‑valued procedure first (no modifier) and append -51 to…
    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…
    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…
    77Modifier 77 indicates that a previously performed procedure or service was legitimately repeated by a different physician or other qualified health care professional. The AMA’s CPT definition…- Use modifier 77 when a basic procedure or service already performed is repeated by a different physician or other qualified health care professional (for example, a second provider independently…
    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
    2080P0207X
    174400000X
    207L00000X
    2251X0800X
    207XS0114X
    224ZR0403X
    2471C1106X

    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-37252-INTRAVASCULAR-ULTRASOUND-NONCORONARY-VESSEL

    CPT 37252: Intravascular Ultrasound for Noncoronary Vessel, First Vessel

    CPT-37253-INTRAVASCULAR-ULTRASOUND-NONCORONARY-ADD-ON

    CPT 37253: Intravascular Ultrasound, Noncoronary Vessel, Add-On

    CPT-37255-ILIAC-ANGIOPLASTY-ADD-ON-LESION

    CPT 37255: Angioplasty of Additional Iliac Vessel

    CPT-37257-ILIAC-ANGIOPLASTY-COMPLEX-LESION-ADDITIONAL-VESSEL

    CPT 37257: Angioplasty of Additional Complex Iliac Lesion

    CPT-37260-ILIAC-ARTERY-STENT-PLACEMENT-COMPLETE-OCCLUSION

    CPT 37260: Iliac Artery Stent Placement for Occlusive Lesion

    CPT-37261-ILIAC-STENT-PLACEMENT-ADDITIONAL-VESSEL

    CPT 37261: Iliac Stent Placement for Additional Occluded Vessel

    CPT-37263-FEMORAL-POPLITEAL-ANGIOPLASTY-BALLOON

    CPT 37263: Femoral and Popliteal Angioplasty, Simple Lesion

    CPT-37264-FEMORAL-POPLITEAL-ADDITIONAL-VESSEL-ANGIOPLASTY

    CPT 37264: Angioplasty of Additional Femoral/Popliteal Vessel

    CPT-37265-FEMORAL-POPLITEAL-COMPLEX-LESION-ANGIOPLASTY

    CPT 37265: Angioplasty for Complex Femoral/Popliteal Occlusion

    CPT-37267-FEMORAL-POPLITEAL-STENT-PLACEMENT

    CPT 37267: Femoral and Popliteal Artery Stent Placement

    Showing 1–10 of 32

    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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