Summary & Overview
CPT 37287: Tibial/Peroneal Stent Placement During Index Revascularization
CPT code 37287 represents stent placement (with angioplasty when performed) in an additional tibial or peroneal artery during the same session as an initial tibial or peroneal revascularization. It covers complex lesions such as complete occlusions in the anterior tibial, posterior tibial, or peroneal arteries and includes all access, catheterization, lesion crossing, and imaging guidance needed to complete the procedure. The code is used for endovascular peripheral arterial interventions and is relevant to hospitals, outpatient vascular suites, and ambulatory surgical centers performing limb-salvage and revascularization procedures.
This publication examines national payer coverage and billing considerations for CPT code 37287 across major payers: Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context, typical sites of service, and what to expect in claims and documentation for complex tibial/peroneal stent placement. The content highlights benchmark topics and policy updates affecting reimbursement and utilization for peripheral vascular interventions, and explains clinical scenarios that commonly generate use of the code.
The report is intended for billing professionals, vascular specialists, and health policy analysts seeking clarity on coding and payer perspectives for complex tibial and peroneal endovascular stenting performed as an add-on during index revascularization.
Billing Code Overview
CPT code 37287 describes placement of a stent, with angioplasty when performed, in an additional tibial or peroneal vessel during the same session as an initial tibial or peroneal revascularization. The covered vascular territory includes the anterior tibial, posterior tibial, and peroneal arteries. The service includes all access, catheterization, lesion crossing, and imaging guidance required to complete the procedure.
Service type: Endovascular peripheral arterial intervention (stent placement with angioplasty) performed as an add-on during the same session as an initial tibial or peroneal revascularization.
Typical site of service: Hospital inpatient, hospital outpatient (endovascular suite), or ambulatory surgical center where peripheral vascular interventions are performed.
Data not available in the input for payers, common modifiers, associated taxonomies, ICD-10 diagnoses, related codes, and service line.
Clinical & Coding Specifications
Clinical Context
A 68-year-old patient with a history of diabetes mellitus, long-standing peripheral artery disease, and worsening rest pain and non-healing ulcer on the foot is evaluated in the vascular lab. Noninvasive testing and angiography demonstrate severe multivessel tibial disease including an occluded posterior tibial artery and a separate complete occlusion of the peroneal artery. During the same endovascular session as an initial tibial or peroneal revascularization, the interventional vascular surgeon deploys a stent in the additional tibial/peroneal vessel for a complex occlusive lesion, performing angioplasty as needed.
The clinical workflow includes pre-procedure evaluation (history, meds, consent), arterial access (often femoral or antegrade tibial), diagnostic angiography to define lesions, lesion crossing techniques, angioplasty and stent deployment in the additional tibial/peroneal vessel, completion angiography to confirm flow, hemostasis, and post-procedure monitoring with vascular and wound-care follow-up. The procedure includes all access, catheterization, lesion crossing, and imaging guidance necessary to complete the stent placement in the additional tibial or peroneal artery territory.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
59 | Distinct procedural service | When a separate, distinct procedural service not ordinarily reported together is performed and documentation supports distinctness from another revascularization procedure during the same session. |