CPT code 37262 identifies intravascular lithotripsy performed in one iliac artery at the same session as an initial iliac revascularization. The technique employs acoustic pressure waves to fracture arterial calcium, facilitating vessel dilation and device delivery during endovascular treatment. This code captures both the therapeutic lithotripsy and the necessary imaging and radiological supervision and interpretation.

This code matters nationally because calcified peripheral arterial disease is common in the iliac circulation and intravascular lithotripsy has emerged as an important adjunct to improve procedural success and potentially reduce complications. Major payers evaluated include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.

Readers will learn the clinical context of the code, the typical sites of service where it is billed, and what to expect in a billing and coverage discussion. The publication provides benchmarks and policy-relevant context where available, summarizes payer coverage patterns, and outlines clinical indications and procedural scope tied to the code. Data not available in the input will be noted as such in the detailed sections of the publication.