C7535 Fem/pop revasc w/stent & us

Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation

Medically Unlikely Edits (effective October 1, 2026)

Payer policies and prior authorization for C7535

Payer coverage policies that name C7535

C7535 appears in 4 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Premera Blue Cross.

PayerPolicyRole in policyReviewedDocument
AetnaIntravascular Ultrasound (0382)listed, no stanceMay 26, 2026payer document
Blue Cross & Blue Shield of MississippiPercutaneous Revascularization Procedures For Lower Extremity Peripheral Arterial Disease (A.7.01.178)listed, no stancepayer document
Blue Cross & Blue Shield of Rhode IslandPercutaneous Revascularization Procedures for Lower Extremity Peripheral Arterial Diseasecovered if criteria are metJan 21, 2026payer document
Premera Blue CrossPercutaneous Revascularization Procedures for Lower Extremity Peripheral Arterial Disease (7.01.594)listed, no stanceSep 8, 2026payer document

Medicaid fee-for-service

  • IN: $0.00 (professional, facility), effective Jan 1, 2023
  • KS: $5948.79 (asc, facility), effective Jan 1, 2023
  • KY: $10323.40 (asc), effective Jan 1, 2026
  • MA: $8499.01 (asc), effective May 1, 2026
  • ND: $6305.86 (physician, facility), effective Aug 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.