Summary & Overview
HCPCS C2629: Introducer/Sheath for Vascular Access, Non-Guiding
HCPCS Level II code C2629 denotes an introducer/sheath device used for vascular or endovascular access procedures, excluding guiding catheters and intracardiac electrophysiological or laser applications. As a supply code for procedural access, it matters nationally because it appears on facility and outpatient procedure claims where device choice and coding specificity affect billing, supply tracking, and bundled reimbursement calculations. Payers and facilities must identify the correct HCPCS Level II code to align claims for device usage during endovascular interventions.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the code's clinical context and typical sites of service, guidance on where C2629 fits in procedural billing lines, and discussion of common modifier usage and payer considerations where applicable. The publication provides benchmarks and policy context where available, clarifies typical clinical scenarios for use of an introducer/sheath device, and notes areas where input data was not provided. This national-level summary is intended to inform coding accuracy, charge capture, and claim submission practices related to device supply reporting for vascular access procedures.
Billing Code Overview
HCPCS Level II code C2629 describes an introducer/sheath, other than guiding, other than intracardiac electrophysiological, laser. This supply is used as an access introducer or sheath device to facilitate insertion of catheters or instruments during vascular or endovascular procedures that do not involve guiding catheters and are not specific to intracardiac electrophysiology or laser therapies.
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Service type: Device supply for vascular or endovascular access
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Typical site of service: Hospital outpatient departments, ambulatory surgical centers, and other procedural settings where vascular access and catheter-based interventions are performed
Clinical & Coding Specifications
Clinical Context
A 68-year-old male with peripheral arterial disease presents for endovascular revascularization of a femoral-popliteal occlusion. After pre-procedure evaluation, the vascular surgery team schedules atherectomy and balloon angioplasty of the superficial femoral artery under monitored anesthesia care. Vascular access is obtained from the common femoral artery using ultrasound guidance. An introducer/sheath (C2629) is advanced to facilitate passage of guidewires, catheters, and atherectomy devices. The sheath used is not a guiding catheter, is not for intracardiac electrophysiology, and is compatible with laser atherectomy systems. The typical workflow includes ultrasound-guided arterial puncture, placement of a micropuncture kit, upsizing to the appropriate introducer/sheath, diagnostic angiography, lesion crossing, atherectomy or balloon angioplasty, possible stent placement, sheath removal, and hemostasis with manual compression or closure device. The typical site of service is an outpatient endovascular suite, hospital interventional radiology suite, or hybrid operating room. Patient monitoring includes vascular access site checks and neurovascular assessment post-procedure; typical recovery time is several hours with same-day discharge for stable patients or overnight observation if complications or comorbidities require admission.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased procedural services |