Cerebrovascular Angioplasty, Stenting, and Select S… | Aetna

Cerebrovascular Angioplasty, Stenting, and Select Surgical Procedures

Aetna · PayerPolicy · AETNA-CPB-0276

Status: Active
Effective: March 16, 2023
Last reviewed by Aetna: June 5, 2026
Last checked by Backwork: August 1, 2026

Summary of the payer’s published policy. Not a coverage determination — confirm with Aetna before submitting.

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Codes in this policy

Each code’s status is what the policy records for it. This page does not show the policy’s criteria. Read them in the payer’s source.

Codes this policy lists and each code’s status in the policy
Code	Code system	Status in this policy
61630	CPT	Covered
61635	CPT	Covered
61640	CPT	Covered
C1874	HCPCS	Covered
C1875	HCPCS	Covered
G45.0	ICD10CM	Covered
G45.2	ICD10CM	Covered
G45.8	ICD10CM	Covered
G45.9	ICD10CM	Covered
Q28.0	ICD10CM	Covered
Q28.3	ICD10CM	Covered