Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) - Clarification of Payment Rules and Expansion of International Classification of Diseases Tenth Edition (ICD-10) Diagnosis Codes

MLN Matters Number: MM11022
Related CR Release Date: February 1, 2019
Related CR Transmittal Number: R4229CP
Related Change Request (CR) Number: 11022
Effective Date: May 25, 2017
Implementation Date: July 1, 2019, shared system edits, March 19, 2019, local MAC edits

CR 11022 informs providers that on May 25, 2017, the Centers for Medicare & Medicaid Services (CMS) issued a National Coverage Determination (NCD) to cover SET for Medicare beneficiaries with Intermittent Claudication (IC) for the treatment of symptomatic PAD. See the Key Points section of this article and make sure your billing staff is aware of this update.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)11022.

Last Updated Feb 07, 2019