LCD ID Number: L34761 Status: A-Approved
LCD Title: Percutaneous Coronary Interventions
Geographic Jurisdiction: Michigan Other Jurisdictions
Original Determination Effective Date:
10/01/2015
Original Determination Ending Date:
Revision Effective Date:
12/30/2021
Revision End Date:
CMS National Coverage Policy:
Italicized font represents CMS national language/wording copied directly from CMS Manuals or CMS transmittals. Contractors are prohibited from changing national language.
CMS Pub 100-03, Medicare National Coverage Determination (NCD) Manual, Chapter 1- Coverage Determinations, Section 20.7 - Percutaneous Transluminal Angioplasty (PTA).
CMS Pub 100-04 Medicare Claims Processing Manual, Chapter 4 – Part B Hospital (Including Inpatient Hospital Part B and OPPS), Section 61.5 - Billing for Intracoronary Stent Placement.
CMS Pub 100-04 Medicare Claims Processing Manual, Chapter 13 – Radiology Services and Other Diagnosis Procedures, Section 20 - Payment Conditions for Radiology Services.
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