CMS received an NCA request to establish a national coverage determination (NCD) for coverage of supervised exercise therapy (SET) for the treatment of peripheral artery disease (PAD).
PAD is a cardiovascular disease that occurs when plaque buildup narrows the arteries outside the heart. PAD most commonly affects the lower extremities and can cause claudication (pain/discomfort) in the legs during exercise, but can also occur while at rest if the disease worsens. Individuals suffering from claudication due to PAD will often limit their walking to avoid/relieve symptoms which could dramatically impact their quality of life (i.e., loss of functional independence, abandoning hobbies, increased isolation, etc.). SET is a low risk and non-invasive treatment option and is indicated for patients with documented PAD and claudication.
Endovascular procedures and medical therapy are beyond the scope of this NCA.
CMS is soliciting public comment relevant to this NCA. We are particularly interested in comments that include scientific evidence.