Transcatheter Infusion Therapy

Transcatheter infusion therapy is covered when a medication (excluding chemotherapy and thrombolytics) must be delivered via a previously inserted arterial angiographic catheter to a localized vascular bed because other routes are ineffective, with infusions defined as continuous administration lasting at least 30 minutes. Covered indications include cerebrovasospasm, head/neck bleeding, gastrointestinal hemorrhage, non-occlusive mesenteric ischemia, and Raynaud's syndrome using specified medications; the service is reimbursable once per encounter and diagnostic or incidental uses, bolus/push administrations, and primary pulmonary hypertension treatments are not covered.

"Transcatheter infusion therapy is indicated for prolonged therapeutic administration of medication via a previously inserted arterial (angiographic) catheter to deliver medication to a localized va..."