Request Prior Approval of Carotid Stenting Coverage
≥ 70% stenosis of the common or internal carotid artery by ultrasound or ≥ 60% stenosis of the common or internal carotid artery by angiogram . Reference vessel diameter . Must be within 4.0 mm – 9.0 mm at the target lesion . The RX Acculink Carotid Stent System, used in conjunction with the Abbott Vascular embolic protection system specified below, is indicated for the treatment of ... ................
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