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    OpenPayerBilling CodesIntravascular Ultrasound Procedures on Arteries and VeinsCPT cpt-37267-femoral-popliteal-stent-placement
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    CPT 37267: Femoral and Popliteal Artery Stent Placement

    Medicare pays $5443 on average nationally for this procedure.

    CPT code 37267 describes stent placement, often with angioplasty, for a straightforward stenotic lesion in an initial vessel of the femoral and popliteal arterial territory (common femoral/profunda femoris or superficial femoral/popliteal); the service includes all access, catheterization, lesion crossing, imaging guidance, and deployment of a vascular stent, and is performed via percutaneous or open arterial approach. Service type: endovascular peripheral arterial intervention with stent deployment. Typical site of service: hospital outpatient department or ambulatory surgery center, or inpatient vascular/interventional suite when clinically indicated.

    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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    Clinical & Coding Specifications

    Clinical Context

    A 72-year-old patient with progressive right lower-extremity claudication attributable to a focal, short-length atherosclerotic stenosis of the superficial femoral artery presents for endovascular revascularization. Pre-procedure workup includes arterial duplex ultrasound demonstrating elevated peak systolic velocities in the femoropopliteal segment, ankle-brachial index (ABI) of 0.6 on the affected side, basic labs (CBC, BMP, coagulation profile), and discussion of risks and benefits. The interventional vascular team obtains informed consent and schedules the patient for angiography with possible percutaneous transluminal angioplasty and stent placement.

    On procedure day, conscious sedation or monitored anesthesia care is administered per institutional protocol. Vascular access is obtained percutaneously via the common femoral artery; diagnostic angiography defines lesion morphology and length. Lesion crossing is performed with guidewires and catheters; adjunctive balloon angioplasty may be used to pre-dilate the stenosis. A self-expanding or balloon-expandable stent is deployed in the targeted femoral or popliteal segment to restore luminal diameter and improve distal perfusion. The service includes all access, catheterization, lesion crossing, and imaging guidance. Post-deployment angiography confirms satisfactory stent position and flow; hemostasis is achieved via manual compression or closure device. The patient is observed in PACU with vascular checks and discharged the same day or admitted overnight for monitoring depending on comorbidities and recovery.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    37220Revascularization, endovascular; transluminal balloon angioplasty, open or percutaneous, femoral, popliteal, tibial arteries, initial vesselOften performed before stent placement for lesion preparation or as stand-alone therapy for simple lesions.
    37224Revascularization, endovascular; transluminal stent placement, initial vessel, lower extremity, infrainguinal, percutaneousAlternative code for stent placement when different coding conventions apply; 37267 describes stent placement for femoral/popliteal territory specifically.
    36247Selective catheter placement, arterial system; each first order thoracic, abdominal, pelvic branch vessel, catheter placementUsed when selective catheterization of pelvic or lower extremity arteries is separately reportable during diagnostic angiography.
    77012Computed tomography guidance for vascular interventions (if applicable)Imaging guidance code used when advanced imaging such as CT guidance is used for access or localization (rare for standard femoropopliteal stent).
    92928Percutaneous transluminal coronary angioplasty; with stent (includes angioplasty and stent)Cardiac counterpart; listed here for coding workflow reference when cross-specialty billing considerations occur.

    Related Modifiers

    5 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…
    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…
    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
    2080P0207X
    207RH0005X
    207VC0200X
    207RP1001X
    235500000X
    322D00000X
    163WN0003X
    364SS0200X

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

    CPT 37258: Iliac Artery Stent Placement, Initial 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

    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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