Shockwave Peripheral IVL for the Office-based Lab
Make waves with Shockwave Intravascular Lithotripsy (IVL). Office-based lab (OBL) reimbursement is now available.
Expand Your Treatment Options for Calcified Peripheral Artery Disease (PAD) with Shockwave Peripheral IVL
Shockwave IVL is your peripheral powerhouse when it comes to treating calcified PAD. Our low-risk, effective mechanism of action (MOA) delivers consistent results and powerful calcium-cracking capabilities on an easy-to-use platform, making it an optimal tool for your practice.
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Predictably safe
Safely modify calcium while significantly reducing the risk of complications to make procedures more predictable and efficient -
Distinctly intuitive
A unique MOA on an intuitive platform that’s simple to learn and effective from the first case -
Consistently effective
Powerfully disrupts superficial and deep calcium across multiple vessel beds, with low residual stenosis
Shockwave™ M5+: A Versatile Calcium-cracking Tool for Your OBL
Shockwave M5+ takes on calcified PAD using our low-risk, proven MOA. The versatile design makes Shockwave M5+ a sound solution for a variety of patients with calcified PAD.
Shockwave M5+ Peripheral IVL Catheter Specifications
| Catalog Number | Balloon Diameter (mm) | Balloon Length (mm) | Sheath Compatibility | Catheter Working Length (cm) | Pulses/Cycle | Cycles | Pulses (max) | Balloon Crossing Profile (in) |
| M5PIVL4060 | 4.0 | 60 | 6 Fr | 135 | 30 | 10 | 300 | 0.054 |
| M5PIVL5060 | 5.0 | 60 | 6 Fr | 135 | 30 | 10 | 300 | 0.061 |
| M5PIVL6060 | 6.0 | 60 | 6 Fr | 135 | 30 | 10 | 300 | 0.065 |
| M5PIVL7060 | 7.0 | 60 | 6 Fr* | 135 | 30 | 10 | 300 | 0.068 |
| M5PIVL8060 | 8.0 | 60 | 6 Fr* | 135 | 30 | 10 | 300 | 0.074 |
*6 Fr compatible with Terumo Pinnacle® Destination® Guiding Sheath and Cook Flexor® Ansel Guiding Sheath. Referenced trademarks are trademarks of their respective owners or holders.
Reimbursement Now Available
Starting January 1, 2026, Shockwave Peripheral IVL will be reimbursed in the OBL setting for the iliac and femoral-popliteal territories.
Peripheral IVL CPT® Codes +37262 and +37279
CPT® codes +37262 and +37279 are add-on codes that must be used in conjunction with a designated primary procedure CPT® code. The payment rate described below for +37262 and +37279 is in addition to payment for the primary procedure CPT® code. See the tables below for a list of primary procedure codes commonly used with Peripheral IVL.
Accordion Section
Peripheral IVL CPT® Add-On Code
| CPT® Code | Description | 2026 Medicare National Base Payment Non-Facility1,2 |
| +37262 | IVL | $3,412 |
+37262 can be billed up to three times in the iliac territory, once for each vessel treated (common, internal, and external) as per CPT® guidelines.
Primary Procedure CPT® Codes
| CPT® Code | Description | Lesion Type* | 2026 Medicare National Base Payment Non-Facility1,2 |
| 37254 | PTA Only | Straightforward | $2,074 |
| 37256 | Complex | $2,432 | |
| 37258 | PTA + Stent | Straightforward | $3,565 |
| 37260 | Complex | $8,441 |
Additional Vessel CPT® Add-On Codes
| CPT® Code | Description | Lesion Type* | 2026 Medicare National Base Payment Non-Facility1,2 |
| +37255 | PTA – Additional Vessel | Straightforward | $510 |
| +37257 | Complex | $580 | |
| +37259 | PTA + Stent – Additional Vessel | Straightforward | $1,207 |
| +37261 | Complex | $3,364 |
*Lesion Type: CMS requires target lesions to be defined as:
Straightforward = stenosis
Complex = occlusion
Peripheral IVL CPT® Add-On Code
| CPT® Code | Description | 2026 Medicare National Base Payment Non-Facility1,2 |
| +37279 | IVL | $4,640 |
+37279 may be billed up to two times in the femoral-popliteal territory, once for each vessel treated (common femoral/profunda and superficial femoral artery (SFA)/popliteal) as per CPT® guidelines.
Primary Procedure CPT® Codes
| CPT® Code | Description | Lesion Type* | 2026 Medicare National Base Payment Non-Facility1,2 |
| 37263 | PTA Only | Straightforward | $5,434 |
| 37265 | Complex | $6,834 | |
| 37267 | PTA + Stent | Straightforward | $5,213 |
| 37269 | Complex | $11,562 | |
| 37271 | PTA + Atherectomy | Straightforward | $10,572 |
| 37273 | Complex | $13,240 | |
| 37275 | PTA + Atherectomy + Stent | Straightforward | $10,284 |
| 37277 | Complex | $15,434 |
Additional Vessel CPT® Add-On Codes
| CPT® Code | Description | Lesion Type* | 2026 Medicare National Base Payment Non-Facility1,2 |
| +37264 | PTA – Additional Vessel | Straightforward | $2,185 |
| +37266 | Complex | $2,443 | |
| +37268 | PTA + Stent – Additional Vessel | Straightforward | $3,363 |
| +37270 | Complex | $3,499 | |
| +37272 | PTA + Atherectomy – Additional Vessel | Straightforward | $2,339 |
| +37274 | Complex | $2,489 | |
| +37276 | PTA + Atherectomy + Stent – Additional Vessel | Straightforward | $3,461 |
| +37278 | Complex | $3,878 |
*Lesion Type: CMS requires target lesions to be defined as:
Straightforward = stenosis
Complex = occlusion
See the Evidence Behind Our Sound Science
Explore our clinical studies and their findings to learn about the safety and efficacy of Shockwave Peripheral IVL devices.
Statistics Callout
This section presents key statistical information with numbers and descriptions.
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1million+Patients treated
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20,000+Patient outcomes published
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500+Journal articles published validating the safety & efficacy of IVL
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The largest prospective real-world evidence for the treatment of complex, heavily calcified peripheral arterial disease (PAD).Peripheral IVL
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The largest-ever randomized clinical study of Shockwave peripheral IVL treatment in severely calcified peripheral lesions, out to 24 months.Peripheral IVL
CPT® 2025 American Medical Association. All rights reserved. CPT® is a registered trademark of the American Medical Association
1: CMS-1832-F; Medicare Physician Fee Schedule, MPFS, Calendar Year 2026 Final Rule. Addendum B, using conversion factor 33.40 https://www.cms.gov/medicare/payment/fee-schedules/physician/federal-regulation-notices/cms-1832-f
2: Payment rates do not take into account geographical or additional adjustments. Providers should contact their local Medicare Administrative Contractor (MAC) or CMS for specific information as payment rates vary by region.
Reimbursement Disclaimer (US): The coding, coverage, and payment information contained herein is gathered from various resources and is subject to change without notice. Shockwave Medical cannot guarantee success in obtaining third-party insurance payments. Third-party payment for medical products and services is affected by numerous factors. It is always the provider’s responsibility to determine and submit appropriate codes, charges, and modifiers for services that are rendered. Providers should contact their third-party payers for specific information on their coding, coverage, and payment policies.