Non-Coronary Vascular Stents

Non-coronary vascular stents are covered for symptomatic stenotic or occlusive arterial and venous disease when prior thorough medical evaluation and management have been documented and when PTA alone is inadequate or surgery would otherwise be the alternative. Coverage requires use of an FDA‑approved stent for approved indications or off‑label use supported by peer‑reviewed literature (or an active IDE with documented FDA identifier), and practitioners must document appropriate training and competency; carotid stenting and preventive (asymptomatic) stenting are excluded under this LCD.

"Stent placement is covered to enhance primary patency of stenotic or occlusive arteries or veins, including as an adjunct to PTA when PTA alone is technically inadequate or not expected to provide ..."

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