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Response to Comments: Computed Tomography Cerebral Perfusion Analysis (CTP)
A58398
Effective: November 18, 2020
Updated: December 31, 2025
Policy Summary
CT cerebral perfusion (CTP) with automated post-processing algorithmic analysis is covered only to evaluate patients with acute ischemic stroke due to a unilateral large vessel occlusion when used to aid selection for endovascular mechanical thrombectomy (EVT). Coverage is limited to that specific purpose and requires documentation of stroke diagnosis, imaging-confirmed unilateral LVO, and use of automated post-processing software; other uses are not covered under this policy.
Coverage Criteria Preview
Key requirements from the full policy
"Computed tomography cerebral perfusion (CTP) using automated post-processing software algorithmic analysis is covered for evaluation of patients with acute ischemic stroke caused by a unilateral la..."
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