C7533 — Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy
HCPCS/CPT
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
Key Coverage Criteria
- Intravascular coronary brachytherapy is consideredmedically necessaryas a treatment of in-stent restenosis when individuals have persistent symptoms of myocardial ischemia despite guideline-directed medical therapy (or contraindication thereto).
1 Active Policy
ANTHEM-GL-D080210 — CG-THER-RAD-07 Intravascular Coronary and Non-Coronary Brachytherapy
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