Reporting Lower Extremity Revascularization (37254-37299)

Why This Topic Matters

Lower extremity revascularization coding changed significantly in CPT 2026, with new territory-based code groupings, code additions and deletions, and revisions to related guidance. Understanding the scope of these changes helps support accurate code selection and awareness of how the updated CPT framework is organized.

Article Sections

1. April 2026 page 40

   Publication context and topic framing for the CPT 2026 lower extremity revascularization update.

2. Reporting Lower Extremity Revascularization (37254-37299)

   High-level summary of the CPT 2026 lower extremity revascularization update and the major areas addressed in the article.

3. Evolution of CPT LER Codes (2011-2026)

   Background on how the lower extremity revascularization code family developed over time and the broader context for the 2026 revision.

4. CPT LER Code Changes in 2026

   Overview of the main structural and guideline changes introduced for the 2026 lower extremity revascularization code family.

5. Complex and Straightforward Lesions

   Discussion of lesion complexity concepts introduced in the revised reporting framework.

6. Intravascular Lithotripsy (IVL)

   General coverage of the addition of IVL within the lower extremity revascularization framework.

7. LER Intervention Guidelines

   Broad guideline updates related to lower extremity revascularization procedures and reporting considerations.

8. Vascular Territories

   Description of the four lower extremity vascular territories used in the revised CPT structure.

9. Iliac Territory

   Territory-specific overview of iliac-region revascularization reporting and associated structure.

10. Endovascular Revascularization of Lower Extremities for Arterial Occlusive Disease

    Territory-by-territory presentation of the new lower extremity revascularization code families and their organization.

11. Iliac Vascular Territory

    Code listing and examples for the iliac vascular territory.

12. Femoral-Popliteal Territory

    Overview of the femoral-popliteal territory and its revised code family.

13. Femoral and Popliteal Vascular Territory

    Code listing and examples for femoral and popliteal territory reporting.

14. Tibial and Peroneal Territory

    Overview of the tibial and peroneal territory and its revised code family.

15. Tibial and Peroneal Vascular Territory

    Code listing and examples for tibial and peroneal territory reporting.

16. Inframalleolar Territory

    Background on the new inframalleolar territory and why it was added to the code family.

17. Inframalleolar Vascular Territory

    Code listing and examples for inframalleolar territory reporting.