Summary & Overview
CPT 37282: Angioplasty of Complex Tibial/Peroneal Occlusion
CPT code 37282 represents angioplasty of a complex occlusive lesion in an initial tibial or peroneal artery (anterior tibial, posterior tibial, or peroneal). It covers the full procedure, including access, catheterization, lesion crossing, and imaging guidance, and can be performed by open or percutaneous approach. This code is central to limb-salvage and peripheral arterial disease management and has implications for hospitals, outpatient vascular suites, and ambulatory surgical centers nationwide.
Key payers analyzed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find clinical context for when CPT code 37282 applies, the typical settings where these procedures are delivered, and what procedural components the code encompasses. The publication provides benchmark context and policy-relevant notes to inform reimbursement discussions, coding consistency, and procedural classification. It highlights typical utilization patterns and contrasts inpatient versus outpatient delivery considerations while summarizing the code's relevance to vascular intervention and peripheral artery disease care at a national level.
Data not available in the input for details such as common modifiers, associated taxonomies, ICD-10 diagnoses, related codes, and service line.
Billing Code Overview
CPT code 37282 describes angioplasty (balloon expansion) of a complex occlusive lesion in an initial tibial or peroneal artery, including the anterior tibial, posterior tibial, and peroneal arteries. The service includes all vascular access, catheterization, lesion crossing, and imaging guidance necessary to complete the procedure. The approach may be open or percutaneous.
Service type: Endovascular peripheral arterial intervention (angioplasty of tibial/peroneal arteries)
Typical site of service: Hospital inpatient or outpatient interventional radiology/cardiovascular suites, or ambulatory surgical centers capable of endovascular procedures
Clinical & Coding Specifications
Clinical Context
A 68-year-old patient with a history of diabetes mellitus and peripheral arterial disease presents with rest pain and non-healing ischemic ulceration of the forefoot. Noninvasive vascular testing (ankle-brachial index and duplex ultrasound) suggests severe tibial runoff disease. Angiography confirms an occlusive, complex lesion of the posterior tibial artery in the tibial/peroneal vascular territory. The vascular interventional team performs 37282 — percutaneous transluminal angioplasty of a complete tibial artery occlusion — using conscious sedation in an endovascular suite. The workflow includes pre-procedure vascular access (commonly common femoral or antegrade femoral access), diagnostic angiography to define lesion anatomy, lesion crossing with wires/catheters, balloon angioplasty of the occluded tibial vessel, intraprocedural fluoroscopic imaging, hemostasis at the access site, post-procedure monitoring for distal perfusion and hematoma, and discharge planning with antiplatelet therapy and wound care follow-up.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
26 | Professional component | When billing only the physician interpretation/technical component is billed separately (rare for endovascular procedures). |