Comment Letter

Neurosurgery Urges CMS to Revisit Medicare Coverage Policy for Carotid Stenting

  • Reimbursement and Practice Management

Tamara Syrek Jensen, Director
Joseph Chin, MD, Deputy Director
Coverage and Analysis Group
Centers for Medicare & Medicaid Services
7500 Security Blvd.
Baltimore, Maryland 21244

SUBJECT: Request for Reconsideration of CMS National Coverage Determination (NCD) 20.7: Percutaneous Transluminal Angioplasty (PTA)

Dear Ms. Syrek Jensen and Dr. Chin:

On behalf of the American Association of Neurological Surgeons (AANS), the Congress of Neurological Surgeons (CNS) and the AANS/CNS Joint Section on Cerebrovascular Neurosurgery, we appreciate the opportunity to comment on the reconsideration of National Coverage Determination (NCD) 20.7: Percutaneous Transluminal Angioplasty (PTA). Neurosurgeons perform carotid artery stenting (CAS) and carotid endarterectomy (CEA), positioning us to objectively evaluate the clinical evidence for treating carotid artery disease.

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