tci Medicare Compliance & Reimbursement - 2007 Issue 7

CARDIOLOGY: Avoid Waiting Until Patients Develop Symptoms To Look Into Stenting

Start identifying asymptomatic patients with advanced stenosis.Cardiologists could soon be providing carotid artery stenting to a larger group of patients than before. The Centers for Medicare & Medicaid Services (CMS) proposed to expand coverage for carotid artery stenting (CAS), to include patients who are asymptomatic. Currently, Medicare covers CAS only in patients who have symptoms of carotid artery stenosis (hardening of the arteries), or who are in a clinical trial.But if the proposed coverage determination goes through, Medicare could cover CAS in patients with greater than 80 percent carotid artery stenosis ...quot; even if they have no...

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