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Billing and Coding: Computed Tomography Cerebral Perfusion Analysis (CTP)
A58223
Effective: September 11, 2025
Updated: December 31, 2025
Policy Summary
This document provides billing, coding, and documentation requirements that complement the LCD for Computed Tomography Cerebral Perfusion Analysis (CTP). Claims must include valid ICD-10-CM diagnosis codes, required ordering/referring physician information when applicable, and comprehensive medical records (signed notes, history, test results, formal interpretive report, and retained images/reconstruction data) that support medical necessity; procedure coding is also subject to NCCI and OPPS edits.
Coverage Criteria Preview
Key requirements from the full policy
"Follow the attached Local Coverage Determination (LCD) for specific clinical indications for Computed Tomography Cerebral Perfusion Analysis (CTP); this billing/coding article complements that LCD."
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