Payer Relations

Most decisions about what procedures will be covered under Medicare are made by local contractors and are known as local coverage determinations (LCDs). In some cases the Centers for Medicare & Medicaid Services decides that a coverage issue is national in scope and it issues a national coverage determination (NCD). A recent instance of an NCD is the revised determination for carotid artery stenting which can be found:


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May 21, 2020: UnitedHealthcare on Lower Extremity Vascular Interventions

May 13, 2020: Anthem Endovascular Techniques (Percutaneous or Open Exposure) for Arterial Revascularization of the Lower Extremities - CG-SURG-49

Nov 12, 2019: Evicore Healthcare Letter Regarding Peripheral Vascular Disease Imaging Guidelines

Nov 12, 2019: BCBSIL Letter Regarding Evicore Healthcare Peripheral Vascular Disease Imaging Guidelines