G0269 Occlusive Device Placement HCPCS Reimbursement | OpenPayer

Summary & Overview

HCPCS G0269: Occlusive Device Placement for Vascular Access

HCPCS Level II code G0269 represents the placement of an occlusive device into a venous or arterial access site after a surgical or interventional procedure. This code captures a common adjunct procedure used to achieve hemostasis following catheterization, endovascular interventions, or other vascular access events. Accurate coding for device placement affects clinical documentation, claims processing, and national utilization tracking of vascular closure technologies.

Key payers referenced include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for device placement, guidance on sites of service where the procedure is typically performed, and an outline of the kinds of benchmarks and policy topics usually associated with this code. These topics commonly include reimbursement considerations, coding and billing practice patterns, and how payers address device-based hemostasis after vascular procedures.

The publication provides national-level context rather than state-specific guidance. Where input data elements are not provided, the report notes that those specific items are not available. The intent is to inform billing managers, compliance teams, and clinical program leaders about the purpose of G0269, typical care settings, and the kinds of payer and policy issues that affect its use.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicareG0269HCPCS Level IIvascular accessocclusive devicevascular closurehemostasisinterventional radiologyambulatory surgical centerhospital outpatient

Billing Code Overview

HCPCS Level II code G0269 describes the placement of an occlusive device into either a venous or arterial access site after a surgical or interventional procedure (for example, an angioseal plug or vascular plug). This procedure is performed to achieve hemostasis and secure the access site following catheterization or other vascular interventions.

Service type: Vascular access site closure device placement

Typical site of service: Hospital outpatient department, ambulatory surgical center, or interventional radiology suite

Clinical & Coding Specifications

Clinical Context

A 68-year-old male with peripheral arterial disease undergoes lower extremity angiography and percutaneous transluminal angioplasty via a common femoral arterial access. At the conclusion of the interventional procedure, the vascular surgery team places an occlusive vascular closure device (for example, an Angio-Seal) into the arterial access site to achieve hemostasis and allow earlier ambulation. The workflow: pre-procedure verification and informed consent; sterile preparation and arterial access; diagnostic and/or therapeutic intervention; removal of sheath; deployment of the occlusive device at the access site; short recovery-room monitoring for hemostasis and neurovascular checks; discharge with written post-procedure instructions and follow-up arranged.

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when work, time, or technical difficulty of placing the closure device substantially exceeds typical expectations.
`23`	Unusual anesthesia	Use if general anesthesia or an unusual anesthesia circumstance is required for placement of the occlusive device.

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HCPCS-G9158-MOTOR-SPEECH-DISCHARGE-FUNCTIONAL-STATUS

HCPCS G9158: Motor Speech Functional Limitation, Discharge Status

HCPCS-G9765-SYSTEMIC-THERAPY-DECLINE-OR-CONTRAINDICATIONS-DERM

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HCPCS-G9077-PROSTATE-CANCER-ADENOCARCINOMA-T1-T2C-GLEASON-2-7-PSA-LE-20

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HCPCS-G8703-PROPHYLACTIC-ANTIBIOTIC-TIMING-NOT-DOCUMENTED

HCPCS G8703: Documentation of Missing Perioperative Prophylactic Antibiotics

HCPCS-G9766-INTERFACILITY-TRANSFER-ENDOVASCULAR-STROKE

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HCPCS-G1027-HEMODIALYSIS-CATHETER-USE-LESS-THAN-3-MONTHS

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Taxonomy Code	Specialty	Notes
`208D00000X`	Vascular Surgery	Specialists who commonly perform arterial access interventions and place closure devices.
`208B00000X`	Interventional Cardiology	Interventional cardiologists who perform arterial catheterizations and deploy closure devices.
`2084P0800X`	Interventional Radiology	Interventional radiologists who perform endovascular procedures and access-site closures.
`207RG0400X`	General Surgery	General surgeons who perform vascular access and closure in operative settings.
`363L00000X`	Nurse Anesthetist	Provides anesthesia services when unusual anesthesia is required for device placement.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`I70.219`	Atherosclerosis of native arteries of extremities, unspecified extremity, with intermittent claudication	Peripheral arterial disease commonly necessitating angiography or intervention with arterial access and subsequent closure device placement.
`I70.23`	Atherosclerosis of bypass graft of the extremities, with intermittent claudication	Patients with prior bypass grafts may undergo endovascular treatment requiring vascular access and closure.
`I73.9`	Peripheral vascular disease, unspecified	Broad peripheral vascular disease diagnosis associated with diagnostic or therapeutic arterial access.
`I80.2`	Phlebitis and thrombophlebitis of other deep vessels of lower extremities	Venous interventions may require venous access and potential occlusive devices at the access site.
`Z98.890`	Other specified postprocedural states	Postprocedural status that may include healing or management after device placement at an access site.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`36215`	Selective catheter placement, arterial system; initial vessel	May be performed earlier in the session to gain arterial access prior to deployment of an occlusive closure device.
`37220`	Revascularization, endovascular, open or percutaneous, femoral-popliteal; with transluminal angioplasty	An interventional procedure that commonly precedes access-site closure with an occlusive device.
`36010`	Arterial puncture, clinical, without catheterization	Initial arterial access procedures that can precede sheath insertion and later closure device placement.
`36556`	Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older	Although venous rather than arterial, venous access procedures may similarly require occlusive devices for hemostasis and are clinically related.
`99070`	Supplies and materials (except physician’s services)	Billing for additional supplies used during closure device deployment when permitted by payer rules.

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