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In Memoriam: Gregory B. Root
National Coverage Determination
Procedure Code:
8XXXX
Percutaneous Transluminal Angioplasty (PTA)
CMS Policy Number: 20.7
Back to NCD List
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.
| I63.031 | Cerebral infrc due to thrombosis of right carotid artery |
| I63.032 | Cerebral infarction due to thrombosis of left carotid artery |
| I63.033 | Cerebral infrc due to thombos of bilateral carotid arteries |
| I63.131 | Cerebral infarction due to embolism of right carotid artery |
| I63.132 | Cerebral infarction due to embolism of left carotid artery |
| I63.133 | Cerebral infrc due to embolism of bilateral carotid arteries |
| I63.231 | Cereb infrc due to unsp occls or stenos of right carotid art |
| I63.232 | Cereb infrc due to unsp occls or stenos of left carotid art |
| I63.233 | Cereb infrc due to unsp occls or stenosis of bi carotid art |
| I65.21 | Occlusion and stenosis of right carotid artery |
.... and many more.
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