Chapter 4
Section 9.3
Intracoronary Stents
Issue Date: July 8, 1998
Copyright: CPT
only © 2006 American Medical Association (or such other date of
publication of CPT).
All Rights Reserved.
Revision:
1.0 CPT
PROCEDURE CODES
92980, 92981
2.0 HCPCS
PROCEDURE CODES
G0290, G0291
3.0 DESCRIPTION
Intracoronary stenting consists of coils or
tubes that are positioned within the coronary vessel to provide
support or “scaffolding” to the internal vessel architecture. Most
stents are metallic coils or tubes and balloon expandable or self-expanding.
4.0 POLICY
4.1 Coronary
artery stenting may be cost-shared for the following indications
as an adjunct to percutaneous transluminal coronary angioplasty:
4.1.1 To reduce
the incident of restenosis; and
4.1.2 For acute or threatened vessel
closure following balloon angioplasty.
4.2 Coronary
artery stents are covered for treatment of saphenous vein narrowing
with previous coronary angioplasty bypass grafting.
4.3 Intracoronary
stents must have U.S. Food and Drug Administration (FDA) approval
based on its specific intention.
5.0 EFFECTIVE
DATES
5.1 November 1, 1996, for intracoronary stents.
5.2 April 24,
2003, for drug eluting stents.
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