Intervention in asymptomatic carotid artery stenosis is controversial and screening for carotid artery stenosis has received a D grade from the U.S. Preventive Services Task Force. Despite the questionable evidence supporting the procedure, an increasing number of Medicare beneficiaries are being screened with carotid duplex ultrasound, possibly driven by self-referrals from specialists performing revascularization, according to a study published in the April issue of the American Journal of Roentgenology.