January 29th, 2018
The following information is according to Novitas Solutions L35084.
Mesenteric vessels: This includes
- Acute mesenteric ischemia
- Chronic mesenteric ischemia
- Mesenteric thrombosis
- Dissection or any other vascular insufficiency resulting in gastrointestinal symptoms
Stenting of the mesenteric vessels is covered only when angioplasty of the vessels would not suffice and after the patient has had a thorough medical evaluation and management of symptoms, and for whom surgical intervention is the likely alternative. The eligible patients will have multiple comorbidities making them poor candidates for open surgical procedures. In these situations, PTA and stent placement should be considered an alternative to surgery and not an addition to medical management.
- Focal (segmental) acute (reversible) ischemia
- Diffuse acute (reversible) ischemia
- Vascular disorders of intestine