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CPT 37260: Iliac Artery Stent Placement for Occlusive Lesion

CPT code 37260 represents stent placement, with or without angioplasty, for a complex occlusive lesion (complete blockage) in an initial iliac artery (common, internal, or external). It covers the full endovascular procedure including access, catheterization, lesion crossing, and imaging guidance. This code is central to management of advanced peripheral arterial disease affecting the iliac segment and has implications for hospital outpatient, ambulatory surgery center, and inpatient interventional workflows.

Key payers included in the analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise outline of clinical context, expected sites of service, and typical service classification. The publication summarizes common billing and coding considerations, highlights national payer coverage patterns where available, and situates 37260 among related peripheral vascular procedure codes. It also provides benchmarks and policy updates relevant to coding, facility billing, and clinical documentation for complex iliac stent procedures.

This resource is intended for coding professionals, hospital administrators, and clinicians involved in peripheral vascular interventions who need a national-level reference for CPT code 37260 and its application in contemporary vascular care.

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Billing Code Overview

CPT code 37260 describes stent placement for a complex occlusive lesion in an initial iliac artery (common, internal, or external iliac). The procedure includes deployment of a small mesh stent, and may include adjunct angioplasty (balloon dilation) as needed to restore vessel patency. The service encompasses all vascular access, catheterization, lesion crossing, and imaging guidance required to complete the intervention.

Service type: Endovascular peripheral vascular intervention (stent placement for iliac occlusion)

Typical site of service: Hospital outpatient department or ambulatory surgery center; may also be performed in inpatient vascular or interventional radiology settings depending on clinical circumstance.

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CPT 37260: Iliac Artery Stent Placement for Occlusive Lesion

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Billing Code Overview

Service type: Endovascular peripheral vascular intervention (stent placement for iliac occlusion)

Clinical & Coding Specifications

Clinical Context

A 68-year-old patient with a history of peripheral arterial disease presents with progressive right-sided buttock and thigh claudication and an ankle-brachial index of 0.6. Noninvasive vascular studies and CT angiography demonstrate a complete occlusion of the right external iliac artery. The vascular surgeon and interventional radiologist review imaging and plan endovascular revascularization with stent placement to restore inflow to the limb.

Pre-procedure workflow includes preoperative assessment (cardiac risk stratification, anticoagulation management), informed consent specific to 37260 that explains risks of vascular access, embolization, and restenosis, and scheduling in an angiography suite. On the day of service the patient receives conscious sedation or monitored anesthesia; arterial access is obtained percutaneously (commonly via common femoral artery) or via an open cutdown if indicated. Diagnostic angiography is performed to define the lesion; lesion crossing techniques and atherectomy or preparatory angioplasty may be used before stent deployment. Deployment of a self-expanding or balloon-expandable stent in the iliac artery is performed under fluoroscopic imaging. Completion angiography confirms in-line flow. Hemostasis is achieved with manual compression, closure device, or open repair, and the patient is observed per institutional post-procedure protocol for bleeding, distal pulses, and access-site complications. Discharge instructions include antiplatelet therapy and follow-up vascular imaging or duplex surveillance.

Coding Specifications

Modifier	Description	When to Use
`26`	Professional component	Use when billing only the physician professional component if the facility bills separately for technical component
`59`	Distinct procedural service	Use when a distinct non-overlapping procedure is performed on the same day that is not ordinarily bundled with `37260`
`51`	Multiple procedures	Use when multiple procedures are performed and payer requires indication of multiple procedure billing
`53`	Discontinued procedure	Use if the procedure is initiated but discontinued due to extenuating circumstances before completion
`78`	Unplanned return to the operating/procedure room by the same physician following initial procedure for a related procedure during the postoperative period	Use if the patient requires an unplanned repeat intervention during the global period
`79`	Unrelated procedure or service by the same physician during the postoperative period	Use for unrelated procedures during global period
`GA`	Waiver of liability statement on file (medicare)	Use when payer requires Advance Beneficiary Notice (ABN) on file for anticipated non-covered service
`LT`	Left side	Use to indicate procedure performed on the left iliac artery when laterality is required
`RT`	Right side	Use to indicate procedure performed on the right iliac artery when laterality is required
`XE`	Separate encounter, a different encounter	Use when the service is distinct because it occurred during a separate encounter from other services
`XS`	Separate structure or organ system	Use when the procedure involves a separate vascular territory not normally treated during the primary procedure

Taxonomy Code	Specialty	Notes
`208D00000X`	Vascular Surgery	Performs open and endovascular iliac stent placement and hybrid procedures
`2084P0800X`	Interventional Cardiology	Performs endovascular peripheral interventions including iliac stenting in select centers
`207LC0200X`	Interventional Radiology	Frequently performs percutaneous iliac stent placement and image-guided interventions
`207RH0003X`	Diagnostic Radiology	May perform diagnostic angiography and support image guidance during intervention
`2083P0101X`	General Surgery	May perform peripheral vascular procedures including iliac interventions in some practices

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`I70.218`	Atherosclerosis of native arteries of the extremities with intermittent claudication, bilateral legs	Common indication for iliac stent placement to restore inflow and relieve claudication caused by aortoiliac atherosclerotic disease
`I70.231`	Atherosclerosis of native arteries of the extremities with ulceration, right leg	Advanced peripheral arterial disease with tissue loss or ulceration may necessitate iliac revascularization to promote healing
`I70.232`	Atherosclerosis of native arteries of the extremities with ulceration, left leg	Same clinical relevance for left-sided disease
`I70.33`	Atherosclerosis of nonautologous biological bypass graft(s) of the leg with intermittent claudication	Patients with prior bypass grafts may require iliac intervention if inflow is compromised
`I74.3`	Embolism and thrombosis of arteries of lower extremities	Acute or subacute arterial thromboembolism causing iliac occlusion can be an indication for emergent endovascular therapy including stent placement

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`37220`	Revascularization, endovascular, open or percutaneous, brachiocephalic, subclavian, or common carotid arteries; percutaneous transluminal angioplasty	May be performed for proximal inflow lesions in the aortoiliac segment before or separate from iliac stent placement
`36147`	Introduction of needle and/or catheter into a vein or artery for diagnostic or therapeutic purposes, radiological supervision and interpretation; arterial puncture for diagnostic angiography	Often performed for arterial access and diagnostic angiography prior to `37260`
`37236`	Transcatheter placement of intravascular stent(s), including angioplasty when performed, in the iliac artery — for single iliac artery excluding complex occlusion initial vessel (used for less complex lesions)	Alternative iliac stent code used for non-occlusive or less complex lesions; documents stenting in different clinical scenarios
`75960`	Radiological supervision and interpretation, angiography, lower extremity, unilateral, selective or nonselective, radiological supervision and interpretation	Used for diagnostic angiographic imaging of lower extremity arterial tree as adjunct to `37260`
`27699`	Unlisted procedure, femoral/ankle region	May be used for adjunctive or uncommon access site procedures or novel techniques not described elsewhere

CPT 37252: Intravascular Ultrasound for Noncoronary Vessel

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

CPT 37253: Intravascular Ultrasound for Additional Noncoronary Vessel

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

CPT 37255: Iliac Angioplasty for Additional Straightforward Lesion

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

CPT 37257: Iliac Angioplasty for Complex Lesion in Additional Vessel

CPT-37258-ILIAC-ARTERY-STENT-PLACEMENT-INITIAL-VESSEL-STRAIGHTFORWARD-LESION

CPT 37258: Iliac Artery Stent Placement for Straightforward Lesion

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

CPT 37261: Stent Placement in Additional Iliac Vessel During Initial Revascularization

CPT-37263-FEMORAL-POPLITEAL-ANGIOPLASTY-BALLOON

CPT 37263: Femoral and Popliteal Balloon Angioplasty

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

CPT 37264: Additional-Vessel Femoral/Popliteal Angioplasty

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

CPT 37265: Angioplasty of Complex Femoral-Popliteal Occlusive Lesion

CPT-37267-FEMORAL-POPLITEAL-STENT-PLACEMENT

CPT 37267: Femoral and Popliteal Arterial Stent Placement

Showing 1–10 of 32

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

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.

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`26`	Professional component	Use when billing only the physician professional component if the facility bills separately for technical component
`59`	Distinct procedural service	Use when a distinct non-overlapping procedure is performed on the same day that is not ordinarily bundled with `37260`
`51`	Multiple procedures	Use when multiple procedures are performed and payer requires indication of multiple procedure billing
`53`	Discontinued procedure	Use if the procedure is initiated but discontinued due to extenuating circumstances before completion
`78`	Unplanned return to the operating/procedure room by the same physician following initial procedure for a related procedure during the postoperative period	Use if the patient requires an unplanned repeat intervention during the global period
`79`	Unrelated procedure or service by the same physician during the postoperative period	Use for unrelated procedures during global period
`GA`	Waiver of liability statement on file (medicare)	Use when payer requires Advance Beneficiary Notice (ABN) on file for anticipated non-covered service
`LT`	Left side	Use to indicate procedure performed on the left iliac artery when laterality is required
`RT`	Right side	Use to indicate procedure performed on the right iliac artery when laterality is required
`XE`	Separate encounter, a different encounter	Use when the service is distinct because it occurred during a separate encounter from other services
`XS`	Separate structure or organ system	Use when the procedure involves a separate vascular territory not normally treated during the primary procedure

Taxonomy Code	Specialty	Notes
`208D00000X`	Vascular Surgery	Performs open and endovascular iliac stent placement and hybrid procedures
`2084P0800X`	Interventional Cardiology	Performs endovascular peripheral interventions including iliac stenting in select centers
`207LC0200X`	Interventional Radiology	Frequently performs percutaneous iliac stent placement and image-guided interventions
`207RH0003X`	Diagnostic Radiology	May perform diagnostic angiography and support image guidance during intervention
`2083P0101X`	General Surgery	May perform peripheral vascular procedures including iliac interventions in some practices

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`I70.218`	Atherosclerosis of native arteries of the extremities with intermittent claudication, bilateral legs	Common indication for iliac stent placement to restore inflow and relieve claudication caused by aortoiliac atherosclerotic disease
`I70.231`	Atherosclerosis of native arteries of the extremities with ulceration, right leg	Advanced peripheral arterial disease with tissue loss or ulceration may necessitate iliac revascularization to promote healing
`I70.232`	Atherosclerosis of native arteries of the extremities with ulceration, left leg	Same clinical relevance for left-sided disease
`I70.33`	Atherosclerosis of nonautologous biological bypass graft(s) of the leg with intermittent claudication	Patients with prior bypass grafts may require iliac intervention if inflow is compromised
`I74.3`	Embolism and thrombosis of arteries of lower extremities	Acute or subacute arterial thromboembolism causing iliac occlusion can be an indication for emergent endovascular therapy including stent placement

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`37220`	Revascularization, endovascular, open or percutaneous, brachiocephalic, subclavian, or common carotid arteries; percutaneous transluminal angioplasty	May be performed for proximal inflow lesions in the aortoiliac segment before or separate from iliac stent placement
`36147`	Introduction of needle and/or catheter into a vein or artery for diagnostic or therapeutic purposes, radiological supervision and interpretation; arterial puncture for diagnostic angiography	Often performed for arterial access and diagnostic angiography prior to `37260`
`37236`	Transcatheter placement of intravascular stent(s), including angioplasty when performed, in the iliac artery — for single iliac artery excluding complex occlusion initial vessel (used for less complex lesions)	Alternative iliac stent code used for non-occlusive or less complex lesions; documents stenting in different clinical scenarios
`75960`	Radiological supervision and interpretation, angiography, lower extremity, unilateral, selective or nonselective, radiological supervision and interpretation	Used for diagnostic angiographic imaging of lower extremity arterial tree as adjunct to `37260`
`27699`	Unlisted procedure, femoral/ankle region	May be used for adjunctive or uncommon access site procedures or novel techniques not described elsewhere

CPT 37252: Intravascular Ultrasound for Noncoronary Vessel

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

CPT 37253: Intravascular Ultrasound for Additional Noncoronary Vessel

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

CPT 37255: Iliac Angioplasty for Additional Straightforward Lesion

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

CPT 37257: Iliac Angioplasty for Complex Lesion in Additional Vessel

CPT-37258-ILIAC-ARTERY-STENT-PLACEMENT-INITIAL-VESSEL-STRAIGHTFORWARD-LESION

CPT 37258: Iliac Artery Stent Placement for Straightforward Lesion

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

CPT 37261: Stent Placement in Additional Iliac Vessel During Initial Revascularization

CPT-37263-FEMORAL-POPLITEAL-ANGIOPLASTY-BALLOON

CPT 37263: Femoral and Popliteal Balloon Angioplasty

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

CPT 37264: Additional-Vessel Femoral/Popliteal Angioplasty

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

CPT 37265: Angioplasty of Complex Femoral-Popliteal Occlusive Lesion

CPT-37267-FEMORAL-POPLITEAL-STENT-PLACEMENT

CPT 37267: Femoral and Popliteal Arterial Stent Placement

Showing 1–10 of 32

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

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 37260: Iliac Artery Stent Placement for Occlusive Lesion

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Billing Code Overview

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CPT 37260: Iliac Artery Stent Placement for Occlusive Lesion

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Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References