CMS Limitations Guide - Cardiovascular Services
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1 CMS Limitations Guide - Cardiovascular Services Starting October 1, 2015, CMS will update their existing medical necessity limitations on tests and procedures to correspond to ICD-10 codes. This limitations guide provides you with the latest changes. This guide is not an all-inclusive list of National Coverage Documents (NCD) and Local Coverage Documents (LCD). You can search by LCD or NCD or keyword and region on the CMS website at: CMS will deny payment if the correct diagnosis codes are not entered on the order form, and your patient s test or procedure will not be covered. We compiled this information in one location to make it easier for you to find the proper codes for medically necessary diagnoses. It is the responsibility of the provider to code to the highest level specified in the ICD-10-CM. The correct use of an ICD-10-CM code listed below does not assure coverage of a service. The service must be reasonable and necessary in the specific case and must meet the criteria specified in this determination. We will continue to update this list as new CMS limitations are announced. You can always find the most current list at: If you have any questions, please contact Kari Smith, Office Coordinator, at (231) , or Karen Popa, Director, Patient Access Services, at (231)
2 (L34636) Electrocardiographic (EKG or ECG) Monitoring (Holter or Real- Time Monitoring) Holter Monitor (93225) CPT Code Description External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation by a physician or other qualified health care professional External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection) (Holter Monitor) External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; review and interpretation by a physician or other qualified health care professional External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real time data analysis and greater than 24 hours of accessible ecg data storage (retrievable with query) with ecg triggered and patient selected events transmitted to a remote attended surveillance center for up to 30 days; review and interpretation with report by a physician or other qualified health care professional External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real time data analysis and greater than 24 hours of accessible ecg data storage (retrievable with query) with ecg triggered and patient selected events transmitted to a remote attended surveillance center for up to 30 days; technical support for connection and patient instructions for use, attended surveillance, analysis and transmission of daily and emergent data reports as prescribed by a physician or other qualified health care professional ICD-10 Codes That Support Medical Necessity and Covered by Medicare Program: Code Description I20.0 Unstable angina I20.1 Angina with I20.8 Other forms of angina I21.01 ST elevation (STEMI) myocardial infarction involving left main coronary artery I21.02 ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery I21.09 ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall I21.11 ST elevation (STEMI) myocardial infarction involving right coronary artery I21.19 ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall I21.21 ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery I21.29 ST elevation (STEMI) myocardial infarction involving other sites I21.4 Non-ST elevation (NSTEMI) myocardial infarction I22.0 Subsequent ST elevation (STEMI) myocardial infarction of anterior wall I22.1 Subsequent ST elevation (STEMI) myocardial infarction of inferior wall I22.2 Subsequent non-st elevation (NSTEMI) myocardial infarction
3 I22.8 Subsequent ST elevation (STEMI) myocardial infarction of other sites I24.0 Acute coronary thrombosis not resulting in myocardial infarction I24.1 Dressler's syndrome I24.8 Other forms of acute ischemic heart disease I Atherosclerotic heart disease of native coronary artery with unstable angina I Atherosclerotic heart disease of native coronary artery with angina with documented spasm I Atherosclerotic heart disease of native coronary artery with other forms of angina I25.2 Old myocardial infarction I Atherosclerosis of coronary artery bypass graft(s), unspecified, with unstable angina I Atherosclerosis of coronary artery bypass graft(s), unspecified, with angina with I Atherosclerosis of coronary artery bypass graft(s), unspecified, with other forms of angina I Atherosclerosis of autologous vein coronary artery bypass graft(s) with unstable angina I Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina with I Atherosclerosis of autologous vein coronary artery bypass graft(s) with other forms of angina I Atherosclerosis of autologous artery coronary artery bypass graft(s) with unstable angina I Atherosclerosis of autologous artery coronary artery bypass graft(s) with angina with I Atherosclerosis of autologous artery coronary artery bypass graft(s) with other forms of angina I Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unstable angina I Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina with I Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with other forms of angina I Atherosclerosis of native coronary artery of transplanted heart with unstable angina I Atherosclerosis of native coronary artery of transplanted heart with angina with I Atherosclerosis of native coronary artery of transplanted heart with other forms of angina I Atherosclerosis of bypass graft of coronary artery of transplanted heart with unstable angina I Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina with I Atherosclerosis of bypass graft of coronary artery of transplanted heart with other forms of angina I Atherosclerosis of other coronary artery bypass graft(s) with unstable angina I Atherosclerosis of other coronary artery bypass graft(s) with angina with documented spasm I Atherosclerosis of other coronary artery bypass graft(s) with other forms of angina
4 I44.0 Atrioventricular block, first degree I44.1 Atrioventricular block, second degree I44.2 Atrioventricular block, complete I44.39 Other atrioventricular block I44.4 Left anterior fascicular block I44.5 Left posterior fascicular block I44.69 Other fascicular block I44.7 Left bundle-branch block, unspecified I45.0 Right fascicular block I45.19 Other right bundle-branch block I45.2 Bifascicular block I45.3 Trifascicular block I45.4 Nonspecific intraventricular block I45.5 Other specified heart block I45.6 Pre-excitation syndrome I45.81 Long QT syndrome I45.89 Other specified conduction disorders I47.0 Re-entry ventricular arrhythmia I47.1 Supraventricular tachycardia I47.2 Ventricular tachycardia I47.9 Paroxysmal tachycardia, unspecified I48.0 Paroxysmal atrial fibrillation I48.1 Persistent atrial fibrillation I48.2 Chronic atrial fibrillation I48.3 Typical atrial flutter I48.4 Atypical atrial flutter I49.01 Ventricular fibrillation I49.02 Ventricular flutter I49.1 Atrial premature depolarization I49.2 Junctional premature depolarization I49.3 Ventricular premature depolarization I49.5 Sick sinus syndrome I49.8 Other specified cardiac arrhythmias R00.1 Bradycardia, unspecified
5 R00.2 Palpitations R06.01 Orthopnea R06.02 Shortness of breath R06.09 Other forms of dyspnea R06.2 Wheezing R06.3 Periodic breathing R06.4 Hyperventilation R06.81 Apnea, not elsewhere classified R06.82 Tachypnea, not elsewhere classified R06.83 Snoring R06.89 Other abnormalities of breathing R07.2 Precordial pain R07.82 Intercostal pain R07.89 Other chest pain R29.5 Transient paralysis R40.4 Transient alteration of awareness R42 Dizziness and giddiness R55 Syncope and collapse Z Long term (current) use of opiate analgesic Z Other long term (current) drug therapy
CMS Limitations Guide - Cardiovascular Services
CMS Limitations Guide - Cardiovascular Services Starting October 1, 2015, CMS will update their existing medical necessity limitations on tests and procedures to correspond to ICD-10 codes. This limitations
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CMS Limitations Guide - Cardiovascular Services
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