Promoting an increased awareness and standardized approaches in diagnosing and treating peripheral artery disease

PERIPHERAL ARTERY DISEASE (PAD)

Supervised Exercise Therapy and Reimbursement

In a May 2017 coverage decision, Centers for Medicare and Medicaid Services (CMS) agreed to cover up to 36 separate 30-60 minutes sessions over a 12-week treatment period per provider referral. To receive coverage for SET, a specific set of requirements must be met (Table 1). The service is paired with CPT code 93668. Medicare payment per session is $54.55 (https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=287).