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    v1.0.28
    OpenPayerBilling CodesEndovascular RevascularizationCPT cpt-37277-atherectomy-stent-femoral-popliteal-occlusion
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    CPT 37277: Atherectomy and Stent Placement, Femoral/Popliteal Occlusion

    Medicare pays $16141 on average nationally for this procedure.

    CPT code 37277 describes endovascular treatment of a complex occlusive lesion in the femoral and popliteal arterial territory using atherectomy with stent placement, and may include adjunctive angioplasty; the service encompasses vascular access, catheterization, lesion crossing, and imaging guidance and is typically performed as an endovascular (percutaneous) or open procedure in an inpatient or outpatient vascular surgery or interventional radiology setting.

    For related coverage guidance, see recent payer policy updates: Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA), Cardiovascular Disease Risk Assessment, Biomarkers for Myocardial Infarction and Chronic Heart Failure.

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    Table of contents

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    Clinical & Coding Specifications

    Clinical Context

    A 72-year-old man with long-standing peripheral artery disease, tobacco use disorder, and poorly controlled diabetes presents with resting right lower extremity pain and non-healing ulceration of the distal foot. Noninvasive vascular testing demonstrates an occlusion of the superficial femoral artery with diminished distal pulses and tissue perfusion. After shared decision-making, the vascular surgery/interventional radiology team schedules an endovascular revascularization of the femoral-popliteal segment. In the angiography suite the patient undergoes ultrasound-guided arterial access, diagnostic angiography confirming a chronic total occlusion of the superficial femoral artery, atherectomy to debulk plaque, adjunctive balloon angioplasty as needed, and deployment of one or more stents to restore luminal patency. The service includes all access, catheterization, lesion crossing, lesion preparation, stent deployment, and intraprocedural imaging. The typical workflow includes pre-procedure consent and optimization, procedural vascular access (percutaneous or open), use of imaging guidance (fluoroscopy), intraprocedural heparinization, device exchanges and adjunctive therapies, completion angiography, and post-procedure monitoring for access site complications and limb perfusion.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    37235Transcatheter placement of intravascular stent(s), open or percutaneous, iliac arteryMay be used when stenting extends proximally into the iliac segment in the same session; distinct anatomic territory.
    37236Transcatheter placement of intravascular stent(s), open or percutaneous, each additional distinct arterial family (e.g., femoral, tibial)Used for additional stent placement in a separate arterial family during the same session when not included in the primary code.
    37238Transcatheter placement of intravascular stent(s), peripheral, other than iliac, each additional vesselUsed for additional vessel stent placement in peripheral arteries beyond the initial vessel treated with 37277.
    37246Revascularization, endovascular, open or percutaneous, tibial/peroneal vessel(s) — atherectomy, laser or mechanicalMay be performed in the same limb for more distal disease requiring atherectomy in tibial vessels.
    35476Thromboembolectomy, lower extremity, percutaneous mechanicalPerformed when thrombotic occlusion requires separate mechanical thrombectomy adjunctive to plaque removal.
    76001Fluoroscopy; remote or with feedback, medical procedureImaging codes for additional fluoroscopic guidance not bundled with primary service when billed separately under payer rules.

    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 CodeSpecialtyNotes
    207P00000XEmergency Medicine PhysicianAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospit…
    363A00000XPhysician AssistantA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and…
    208000000XPediatrics PhysicianA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectru…
    317400000XDeactivated - Christian Science FacilityInactive, use 282J00000X
    125K00000XAdvanced Practice Dental TherapistAn Advanced Practice Dental Therapist is:<br/>(1) A dental therapist who has completed additional training beyond basic dental therapy education and p…
    2084S0010XSports Medicine (Psychiatry & Neurology) PhysicianA psychiatrist or neurologist who specializes in the diagnosis and treatment of sports related conditions and injuries.
    163WM1400XNurse Massage Therapist (NMT)Nursing Service Providers · Registered Nurse
    2083B0002XObesity Medicine (Preventive Medicine) PhysicianA physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the ge…

    Related Payer Policy Updates

    Specialty: Cardiology1 / 3

    6 rows

    PolicyPayerEffective Date
    Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA)univerahealthcare2026-10-15
    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
    Cardiovascular Disease Risk Assessmentblue cross blue shield - louisiana2026-09-15
    Cardiovascular Disease Risk AssessmentBlue Cross Blue Shield - New Mexico2026-09-04

    Related Codes

    CPT-37236-ARTERIAL-STENT-PLACEMENT-ENDOVASCULAR

    CPT 37236: Arterial Stent Placement via Catheter

    CPT-37237-ADD-ON-ENDOVASCULAR-STENT-PLACEMENT

    CPT 37237: Endovascular Arterial Stent Placement, Add-On

    CPT-37238-VENOUS-STENT-PLACEMENT-CATHETER

    CPT 37238: Venous Stent Placement, Percutaneous or Open

    CPT-37239-SECONDARY-VENOUS-STENT-INSERTION-ENDOVASCULAR

    CPT 37239: Venous Stent Placement, Additional Vein

    CPT-37246-PERCUTANEOUS-BALLOON-ANGIOPLASTY-ARTERY

    CPT 37246: Percutaneous Balloon Angioplasty of Non-Coronary Artery

    CPT-37247-TRANSLUMINAL-BALLOON-ANGIOPLASTY-ADDITIONAL-ARTERIES

    CPT 37247: Transluminal Balloon Angioplasty, Additional Arteries

    CPT-37249-PERIPHERAL-VEIN-BALLOON-ANGIOPLASTY-ADDITIONAL-VEINS

    CPT 37249: Transluminal Balloon Angioplasty of Additional Veins

    CPT-37254-ILIAC-ARTERY-ANGIOPLASTY-BALLOON-DILATION

    CPT 37254: Iliac Artery Angioplasty (Balloon)

    CPT-37256-ILIAC-ARTERY-COMPLEX-LESION-ANGIOPLASTY

    CPT 37256: Iliac Artery Angioplasty for Complex Occlusion

    CPT-37259-ILIAC-ARTERY-STENT-PLACEMENT-ADDITIONAL-VESSEL

    CPT 37259: Iliac Artery Stent Placement, Additional Vessel

    Showing 1–10 of 21

    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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