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Billing and Coding: Computed Tomography Cerebral Perfusion Analysis (CTP)
A58354
Policy Summary
Coverage for CT cerebral perfusion analysis (CTP) follows the medical necessity criteria in LCD L38769. Documentation requirements are strict: the medical record must document history, physical exam, pertinent diagnostic test results, a formal written interpretive report with provider identification and reason for testing, and must retain copies of images and reconstruction data; lack of such documentation will render the service non-covered.
Coverage Criteria Preview
Key requirements from the full policy
"CT cerebral perfusion analysis (CTP) is covered when the patient's presentation meets the medical necessity criteria specified in the related Local Coverage Determination LCD L38769."
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