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Billing and Coding: Non-Coronary Vascular Stents
A57590
Wisconsin Physicians Service Insurance Corporation (J05)
Effective: October 30, 2025
Updated: December 31, 2025
Policy Summary
This billing and coding article does not specify coverage or clinical criteria itself; all coverage indications, limitations, and medical necessity determinations for non-coronary vascular stents are defined in the related LCD. Providers must consult the referenced LCD to determine covered indications, exclusions, documentation requirements, and any frequency or prior authorization rules before billing.
Coverage Criteria Preview
Key requirements from the full policy
"Billing and coding guidance for non-coronary vascular stents is dependent on the coverage indications, limitations, and medical necessity specified in the related Local Coverage Determination (LCD)..."
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