Percutaneous Revascularization Procedures for Lower Extremity Peripheral Arterial Disease
Summary
Percutaneous revascularization using balloon angioplasty, stent procedures, or atherectomy for chronic symptomatic lower extremity peripheral arterial disease may be considered medically necessary when functionally limiting claudication is present, there is an inadequate response to guideline-directed management and therapy including structured exercise, and the potential benefits outweigh the risks and durability of the intervention. These same procedures may also be considered medically necessary for chronic limb-threatening ischemia and for acute limb ischemia, and percutaneous revascularization using lithotripsy is considered investigational in all situations. CPT codes 37220 through 37235 are marked deleted as of 12/31/2025, and CPT codes 37254 through 37299 are marked new as of 01/01/2026.
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