Vascular surgery involves a traditional surgical approach and a minimally invasive catheter based endovascular approach. These endovascular procedures insert catheters into small incisions in the groin or arms, and are guided through the blood vessels. Endovascular procedures typically have a quicker recovery time and individuals are able to leave the hospital sooner than the traditional open surgical route.
ANY ONE of the following intra-arterial/intravenous therapeutic procedures may be considered medically necessary:
Arterial percutaneous transluminal angioplasty (PTA) may be considered medically necessary in the treatment of ANY ONE of the following obstructions:
Arterial PTA for any other condition not stated above is considered not medically necessary.
Pulmonary PTA may be considered medically necessary for the treatment of obstructions in the pulmonary arteries.
Pulmonary PTA for any other condition not stated above is considered not medically necessary.
Venous PTA may be considered medically necessary for the treatment of ANY ONE of the following conditions:
Venous angioplasty when used to remove deep vein thrombosis (DVT) is not considered medically necessary.
Venous PTA for any other condition not stated above is considered not medically necessary.
Laser angioplasty for non-coronary vessels is considered experimental/investigational and therefore, non-covered, because scientific evidence does not demonstrate the effectiveness of this procedure.
Outpatient HCPCS (C Codes)
Covered Diagnosis codes for procedures codes 37246, 37247, 37248 and 37249
Professional Statements and Societal Positions Guidelines