tci General Surgery Coding Alert - 2001 Issue 5

HCFA to Cover PTA/Stent Deployment in Clinical Trials

HCFA has decided to cover balloon angioplasty in the carotid artery performed with deployment of a carotid stent during approved clinical trials. Although payment decisions for these procedures remain carrier-driven, the March 20 HCFA decision (Medicare Coverage Policy Decision #CAG 00085A) is a signal to carriers that carotid percutaneous transluminal angioplasty (PTA)/stents, until now explicitly not covered, should be reconsidered in light of growing medical evidence. Deployment of a carotid PTA/stent will be covered when performed in accordance with Food and Drug Administration approved Category B Investigational Device Exemption (IDE) trials. The carotid artery is the principal vessel supplying...

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