Patients whose legs hurt during physical activity often find it hard to follow a walking program. Vascular specialists agree that long daily walks are the best treatment for people with intermittent claudication, thereby increasing the distance of pain-free walking through the development of collateral circulation. Backgroundīoth physical activity and medications are used to treat peripheral vascular disease. Note: Measurement of ankle brachial index is considered integral to the evaluation and management service and is not separately reimbursed.Īetna considers transcutaneous visible light hyperspectral imaging (HyperView) experimental and investigational for determination of oxygenation levels in superficial tissues for individuals with potential circulatory compromise (e.g., peripheral vascular disease) and all other indications because of insufficient evidence of its effectiveness. At this visit, the member must receive information regarding cardiovascular disease and PAD risk factor reduction, which could include education, counseling, behavioral interventions, and outcome assessments.Īetna considers medical supervision of peripheral vascular rehabilitation programs experimental and investigational for persons with absolute contraindications to exercise and for all other indications because the value of such supervision for other indications is not well documented by the available peer-reviewed published medical literature.Īetna considers the PADnet System and testing program experimental and investigational for evaluation of peripheral artery disease and other indications because of insufficient evidence of its effectiveness.Īetna considers the QuantaFlo System experimental and investigational for screening of peripheral artery disease because the effectiveness of this approach has not been established. Member must have a face-to-face visit with the physician responsible for PAD treatment to obtain the referral for SET program.be under the direct supervision of a physician, physician assistant, or nurse practitioner/clinical nurse specialist trained in both basic and advanced life support techniques and.be delivered by qualified auxiliary personnel to ensure benefits exceed harms, and who are trained in exercise therapy for PAD and.be conducted in a hospital outpatient setting, or a physician’s office and.
consist of sessions lasting 30-60 minutes comprising a therapeutic exercise-training program for PAD in members with claudication and.Up to 36 sessions over a 12-week period are considered medically necessary if all of the following components of a supervised exercise therapy (SET) program are met: Aetna considers medical supervision of peripheral vascular rehabilitation programs medically necessary for the treatment of persons with symptomatic peripheral artery disease (PAD) (i.e., intermittent claudication).
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