National Coverage Determination
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Percutaneous Transluminal Angioplasty (PTA)
CMS Policy Number: 20.7
Description: Providers of covered intracranial PTA with stenting shall use Category B IDE billing requirements, as listed in section 68.4. In addition to these requirements, providers must bill the appropriate procedure & dx codes to receive payment.
Under Part B, providers must bill procedure code 37799 along with a dx code of I67.2 Cerebral atherosclerosis
To review all requirements of this policy, please see:
CMS NCD listing by Chapter
Covered ICD-10 Codes.
||Cerebral infrc due to thrombosis of right carotid artery|
||Cerebral infarction due to thrombosis of left carotid artery|
||Cerebral infarction due to embolism of right carotid artery|
||Cerebral infarction due to embolism of left carotid artery|
||Cereb infrc due to unsp occls or stenos of right carotid art|
||Cereb infrc due to unsp occls or stenos of left carotid art|
||Cereb infrc due to unsp occls or stenosis of cerebral artery|
||Occlusion and stenosis of right carotid artery|
||Occlusion and stenosis of left carotid artery|
||Occlusion and stenosis of bilateral carotid arteries|
||Occlusion and stenosis of other precerebral arteries|
||Encntr for exam for nrml cmprsn and ctrl in clncl rsrch prog|
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