Billing and Coding: Venous Angioplasty with or without Stent Placement for the Treatment of Chronic Cerebrospinal Venous Insufficiency

This billing and coding guidance applies to venous angioplasty with or without stent placement for treatment of Chronic Cerebrospinal Venous Insufficiency (CCSVI) and defers specific clinical coverage criteria and frequency limits to the related LCD. Claims must include a valid ICD-10-CM diagnosis code, and when required, the referring/ordering physician's name and NPI; procedure coding must comply with NCCI and OPPS edits. Medical records must document medical necessity (history, exam, and pertinent diagnostic test results) consistent with the LCD.

"Venous angioplasty with or without stent placement is covered when performed for treatment of Chronic Cerebrospinal Venous Insufficiency (CCSVI) as specified in the related Local Coverage Determina..."

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