tci Medicare Compliance & Reimbursement - 2004 Issue 42

Medicare Advantage: New Carotid Stent Technique Wins Coverage

Physician practices that perform percutaneous transluminal angioplasty (PTA) with carotid stent placement have reason to celebrate.The Centers for Medicare & Medicaid Services has decided to cover PTA with stent placement, as long as it's consistent with the Food and Drug Administration-approved stent device. The use must be part of an FDA-required post-approval study. CMS says it will consider the general question of whether Medicare should pay for all devices in FDA-required post-approval studies at a later date. CMS says about 20 percent of cerebral infarctions stem from obstructive lesions in the carotid arteries, and these infarctions cause 80...

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