UMASS GROUP PRACTICE PLAN

I am writing on behalf of my patient, _____, to request prior authorization for treatment of carotid artery disease with carotid angioplasty and stenting with embolic protection (CPT code 37215). The Rapid Exchange (RX) Acculink Carotid Stent was approved in August 2004 and Xact Carotid Stent was approved in September 2005 for patients with ... ................
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