UM Guidelines
Carotid PTA

Inpatient and Surgical Care (ISC)

BlueCross BlueShield of Tennessee developed this guideline to supplement the Milliman Care Guidelines®
BCBST modification effective September 27, 2007*

Added:
   
Refer to Medical Policy for Clinical Indications - Percutaneous Transluminal Angioplasty of the Aortic Arch Vessels with or without stenting (Brachiocephalic, Carotid, Subclavian, & Vertebral arteries), and of Coarctation of the Aorta
 
Goal Length Of Stay: 23-hour observation (BCBST modification effective September 27, 2007*)
 

* These guideline(s) have been revised from the Milliman USA Milliman Care Guidelines.  The portions of the guideline(s) which have been revised are identified through the use of [insert: italic, boldface, underlined, etc. as appropriate] text, and Milliman USA has neither reviewed nor approved the modified material.  Any statement to the contrary or association of the modified material with Milliman USA is strictly prohibited. This document has been classified as public information.
The above information only contains the modified portion of the Milliman Care Guideline. If you wish to view the complete Milliman Care Guideline, please contact Milliman USA.