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LCD - Echocardiography (L37379) - Centers for …

    https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=37379
    The patient's medical record must document the medical necessity of services performed for each date of service submitted on a claim, be legible and must be available to the A/B MAC upon request. When pharmacologic stress is used, the record …

Article - Billing and Coding: Echocardiography (A56625)

    https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56625
    The information in this article contains billing, coding or other guidelines that complement the Local Coverage Determination (LCD) for Echocardiography L37379. Follow-up Studies or …

Diagnostic Cardiology Procedures and Medical …

    https://static.aapc.com/a3c7c3fe-6fa1-4d67-8534-a3c9c8315fa0/db0bf111-b6ae-4902-9b35-4b9da2a0a480/b8804578-7c56-4b6d-97bd-2945abe487ae.pdf
    Medical Necessity Reporting Medical Necessity for Stress Echocardiogram Ventricular function and cardiomyopathies Hypertensive CV disease Acute MI and coronary …

Diagnostic Cardiology Procedures and Medical …

    http://static.aapc.com/a3c7c3fe-6fa1-4d67-8534-a3c9c8315fa0/e18725d7-636a-4511-9c05-44caa685a01b/004fbfd3-8040-4f75-a6ed-0fce8b386eee.pdf
    Medical Necessity Components of echocardiogram M-Mode 2-D Doppler Code selection depends on: Intent: congenital cardiac anomalies (93303, 93304) follow-up or limited …

Does Medicare pay for echocardiograms?

    https://www.medicalnewstoday.com/articles/does-medicare-pay-for-echocardiograms
    An echocardiogram (echo) is a medical test that provides valuable information on the heart. Medicare …

eviCore Cardiac Imaging Guidelines

    https://www.evicore.com/-/media/files/evicore/clinical-guidelines/solution/cardiology-and-radiology/2021/evicore_cardiac_final_v10_eff010121_pub11052020.pdf
    CD-2: Echocardiography (ECHO) 16 CD-3: Nuclear Cardiac Imaging 28 CD-4: Cardiac CT, Coronary CTA, and CT for Coronary Calcium (CAC) 35 CD-5: Cardiac …

Transthoracic Echocardiography in Adults - Cigna

    https://static.cigna.com/assets/chcp/pdf/coveragePolicies/medical/mm_0510_coveragepositioncriteria_transthoracic_echocardiography.pdf
    • Evaluation after appropriate time interval following revascularization and/or optimal medical therapy to determine candidacy for implantable cardioverter-defibrillator (ICD)/ …

MEDICAL POLICY Transthoracic Echocardiography

    https://www.paramounthealthcare.com/assets/documents/MedicalPolicy/PG0408_Transthoracic_Echocardiography.pdf
    Echocardiography is the ultrasonic examination of the heart. Transthoracic echocardiography (TTE) affords unique insight into cardiac structure and function. Two …

Criteria for Imaging - eviCore

    https://www.evicore.com/-/media/files/evicore/clinical-guidelines/solution/cardiology-and-radiology/archive/uhc-oxford-cardiology_v202018_eff-11212018_pub9162018.pdf
    93304 Transthoracic Echocardiography for Congenital Cardiac Anomalies; Follow-up or Limited Study. 28. 93306 Echocardiography, Transthoracic, Real-time with Image …

Diagnosis for Echocardiogram Medical Necessity - AAPC

    https://www.aapc.com/discuss/threads/diagnosis-for-echocardiogram-medical-necessity.128009/
    One Diagnosis code in particular was mentioned by an echo tech. Stating that all the Echocardiograms with the old ICD-9 code 785.2 Undiagnosed Cardiac Murmurs …



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