Summary & Overview

HCPCS C1725: Transluminal Angioplasty Catheter, Non-Laser

HCPCS Level II code C1725 represents a non-laser transluminal angioplasty catheter, a device used in endovascular procedures to dilate vascular narrowings and potentially deliver fluids or therapeutic agents. This code is significant nationally because it identifies a commonly utilized class of angioplasty device in peripheral and vascular interventions, impacting device billing, hospital supply management, and procedural coding consistency across payers.

Key payers included in the analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise review of clinical context for device use, common billing considerations, and what to expect from payer coverage patterns. The publication summarizes benchmarking points and policy-relevant items affecting device coding and reimbursement, and highlights typical sites of service where this device is billed.

The report provides practical reference material: code definition and clinical role, payer coverage landscape, common modifiers and billing considerations (listed elsewhere in the publication), and pointers to related device and procedure coding. Where input data were not provided, the publication notes the absence of that specific information. The content is written for a national audience of coding professionals, practice managers, and policy analysts seeking a clear, concise overview of HCPCS Level II code C1725 and its place in endovascular procedure billing.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicareC1725HCPCS Level IIAngioplastyEndovascularVascular deviceOutpatient surgeryMedical device coding

Billing Code Overview

HCPCS Level II code C1725 describes a catheter used for transluminal angioplasty, non-laser. The device entry notes that the catheter may include guidance and infusion/perfusion capability, indicating it can be used both to dilate vascular stenoses and to deliver agents or fluids through the catheter lumen.

Service type: Endovascular transluminal angioplasty device

Typical site of service: Hospital outpatient department or ambulatory surgical center, and other settings where endovascular angioplasty procedures are performed

Data not available in the input.

Clinical & Coding Specifications

Clinical Context

A 68-year-old patient with progressive claudication, hypertension, and peripheral artery disease presents for endovascular revascularization of an iliofemoral artery stenosis. After diagnostic angiography confirms a significant focal atherosclerotic lesion causing limb ischemia, the interventional team performs transluminal percutaneous balloon angioplasty using a dedicated angioplasty catheter designed for transluminal dilatation. The procedure is performed in an outpatient endovascular suite or hospital interventional radiology/cardiac catheterization lab under conscious sedation or monitored anesthesia care. Vascular access is obtained percutaneously (commonly common femoral artery), and the catheter C1725 (transluminal angioplasty catheter, non-laser) is advanced over a guidewire to the stenotic segment under fluoroscopic guidance. Balloon inflation(s) are performed to restore luminal diameter; adjunctive therapies such as stent placement, intraprocedural vasodilator infusion, or thrombolytic infusion may be performed as clinically indicated. Post-procedure, hemostasis is achieved via manual compression or closure device, and the patient is observed in recovery for access site monitoring and limb perfusion checks prior to discharge or admission for overnight observation depending on comorbidities and institutional protocols.

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when work, time, and complexity substantially exceed typical angioplasty (document increased complexity).
`23`	Unusual anesthesia	Use when general anesthesia is required for a normally not separately reportable procedure.
`52`	Reduced services	Use when the angioplasty is partially completed or reduced in scope.
`53`	Discontinued procedure	Use when the procedure is started but terminated due to patient instability or anatomical issues.
`59`	Distinct procedural service	Use to indicate a separate, distinct service when multiple endovascular procedures are performed in different vascular territories.
`62`	Two surgeons	Use when two surgeons share independent surgical responsibilities during a complex vascular case.
`76`	Repeat procedure by same physician	Use when an identical angioplasty is repeated later the same day by the same physician.
`77`	Repeat procedure by another physician	Use when the repeat angioplasty is performed by a different physician the same day.
`80`	Assistant surgeon	Use when a surgical assistant is required and documented.
`51`	Multiple procedures	Use when angioplasty is billed with other significant procedures performed in the same session.

Taxonomy Code	Specialty	Notes
`330800000X`	Interventional Radiology	Commonly performs endovascular angioplasty and image-guided interventions.
`207RG0300X`	Vascular Surgery	Performs peripheral angioplasty and endovascular revascularization procedures.
`208U00000X`	Cardiology (Interventional)	Performs peripheral and coronary transluminal angioplasty; may perform peripheral interventions in cath lab.
`363L00000X`	Interventional Cardiology	Providers who perform catheter-based vascular procedures in specialized centers.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`I70.213`	Atherosclerosis of native arteries of extremities with intermittent claudication, bilateral legs	Common indication for peripheral transluminal angioplasty to improve limb perfusion.
`I70.234`	Atherosclerosis of native arteries of the extremities with rest pain, bilateral legs	Indicates critical limb ischemia prompting revascularization with angioplasty.
`I70.241`	Atherosclerosis of native arteries of extremities with ulceration, right leg	Ulceration from ischemia often requires endovascular revascularization to promote healing.
`I70.255`	Atherosclerosis of bypass graft of the extremities with intermittent claudication, bilateral legs	Angioplasty may be used to treat stenosis in peripheral bypass grafts.
`I74.3`	Embolism and thrombosis of arteries of the lower extremities	Acute limb ischemia where catheter-based angioplasty +/- thrombectomy or lysis may be indicated.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`75710`	Angiography, extremity, unilateral, radiological supervision and interpretation	Diagnostic angiography often performed before angioplasty to define lesion anatomy.
`37220`	Revascularization, endovascular, open or percutaneous, femoral, popliteal, with transluminal angioplasty	Common CPT for percutaneous transluminal angioplasty of peripheral arteries; may be reported alongside device codes.
`37224`	Revascularization, endovascular, iliac artery, with stent placement	Performed when angioplasty results require stent placement for residual stenosis.
`36011`	Introduction of catheter, transfemoral, for diagnostic or therapeutic purposes; initial access	Billing for vascular access when performed as a distinct service.
`93740`	Peripheral angioplasty or therapeutic peripheral vascular procedure (hemodynamic assessment)	Ancillary hemodynamic measurements or pressure gradients obtained during intervention.