Need help choosing the right code?
Ask CasePilot about procedures, modifiers, bundling, and coding guidance.
Try CasePilot© Copyright 2026 American Medical Association. All rights reserved.
The procedure described by CPT® Code 35456 refers to a transluminal balloon angioplasty performed on the femoral-popliteal artery. This is a minimally invasive surgical technique used to treat blockages or narrowing in the artery that can impede blood flow to the lower extremities. The term "transluminal" indicates that the procedure is performed within the lumen of the artery, utilizing a balloon catheter to dilate the narrowed area. The femoral-popliteal artery is a critical vessel that supplies blood to the thigh and lower leg, and blockages here can lead to significant complications, including pain, ulcers, or even limb loss. During the procedure, the physician makes an incision to access the artery, allowing for direct intervention. A guidewire is then navigated through the artery to the site of the blockage, where a balloon catheter is positioned. Once in place, the balloon is inflated to compress the plaque against the arterial wall, thereby widening the artery and restoring blood flow. This inflation may be repeated multiple times to achieve optimal results. Following the angioplasty, a completion angiography is performed to confirm the success of the procedure and ensure that the artery remains open. The access site is then repaired, and the skin incision is closed, marking the end of the procedure. This technique is essential for improving circulation and alleviating symptoms associated with arterial blockages in the lower extremities.
© Copyright 2026 Coding Ahead. All rights reserved.
The procedure described by CPT® Code 35456 is indicated for patients experiencing conditions related to arterial blockages in the femoral-popliteal region. The following are specific indications for performing this procedure:
The procedure for CPT® Code 35456 involves several critical steps to ensure successful angioplasty of the femoral-popliteal artery:
After the completion of the angioplasty procedure, patients typically undergo monitoring to assess for any complications or adverse effects. Post-procedure care may include instructions for activity restrictions, pain management, and signs of potential complications such as bleeding or infection at the incision site. Patients are often advised to follow up with their healthcare provider to evaluate the success of the procedure and to discuss any further treatment options if necessary. Recovery time can vary based on individual patient factors and the extent of the procedure performed.
| Short Descr | REPAIR ARTERIAL BLOCKAGE | Medium Descr | TRLUML BALO ANGIOP OPN FEM-POP | Long Descr | Transluminal balloon angioplasty, open; femoral-popliteal | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Inpatient Procedures, not paid under OPPS | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | none | MUE | Not applicable/unspecified. | CCS Clinical Classification | 60 - Embolectomy and endarterectomy of lower limbs |
Get instant expert-level medical coding assistance.