150 North Wacker Drive
Suite 2360
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax

User Information

Create New Account

Lost Password


Quick Links

LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule


Physician Fee Schedule


OPPS Fee Schedule


ASC Fee Schedule


APC Codes


DRG Codes


ASP Drug Pricing Files

April 2024
January 2024

CMS Transmittals

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.

I63.031Cerebral infrc due to thrombosis of right carotid artery
I63.032Cerebral infarction due to thrombosis of left carotid artery
I63.033Cerebral infrc due to thombos of bilateral carotid arteries
I63.131Cerebral infarction due to embolism of right carotid artery
I63.132Cerebral infarction due to embolism of left carotid artery
I63.133Cerebral infrc due to embolism of bilateral carotid arteries
I63.231Cereb infrc due to unsp occls or stenos of right carotid art
I63.232Cereb infrc due to unsp occls or stenos of left carotid art
I63.233Cereb infrc due to unsp occls or stenosis of bi carotid art
I65.21Occlusion and stenosis of right carotid artery
.... and many more.

Sorry, you need to login or register to view additional sections of this Medicare policy.

Click here for publications catalog.

The content and format of the following files and/or webpages are copywritten and the property of Wheaton Partners, LLC - dba CodeMap®. All recipients of these files agree not to distribute, reproduce and/or use the information contained within, in any manner not expressly agreed upon by the user and Wheaton Partners, LLC - dba CodeMap®.

All code-pairs and Medicare coverage information are compiled directly from Center for Medicare and Medicaid Services (CMS) and Medicare Contractor coverage policies. CodeMap® has made every reasonable effort to ensure the accuracy of the information contained. However, the ultimate responsibility for correct coding and claims submission lies with the provider of services. Both CMS and Medicare contractor coverage policy information may change at any time. CodeMap® makes no representation, warranty, or guarantee that this compilation of coverage policy information is error-free or that the use of this information will result in Medicare coverage and subsequent payment of claims. Final coverage and payment of claims are subject to many factors exclusively controlled by CMS and its contractors.

CodeMap® is a Registered Trademark of Wheaton Partners, LLC.