Does 0331T require prior authorization?

No, 0331T does not require prior authorization (high confidence). Code is covered without prior authorization.

What is the Medicare reimbursement rate for 0331T?

Medicare facility rate: N/A. Non-facility rate: N/A. Work RVU: 0.00.

HCPCS/CPT

No Prior Auth Required

Code is covered without prior authorization (high confidence)

Work RVU

0.00

Facility

N/A

Non-Facility

N/A

Documentation that the marketed version of the MIBG test (and any scoring algorithms) was used.
Description of the reference standard used for comparison must be provided.
Documentation of patient/sample clinical characteristics.
Documentation of patient/sample selection criteria.

Use as a prognostic marker in individuals with heart failure to identify those at risk of 1-year mortality
Use as a prognostic marker in individuals with heart failure to identify those at risk of 2-year mortality
Use to guide treatment decisions for patients with heart failure
Use to monitor the effectiveness of heart failure treatments
Use of Iodine-123 MIBG imaging to assess myocardial sympathetic innervation in individuals with heart failure.
Detection of primary or metastatic pheochromocytoma or neuroblastoma as an adjunct to other diagnostic tests (FDA-approved indication for AdreView/lobenguane I-123).

BCBSIL-RAD604.012 — Myocardial Sympathetic Innervation Imaging in Individuals With Heart Failure

BCBSMT-RAD604.012 — Myocardial Sympathetic Innervation Imaging in Individuals With Heart Failure

BCBSNM-RAD604.012 — Myocardial Sympathetic Innervation Imaging in Individuals With Heart Failure

BCBSOK-RAD604.012 — Myocardial Sympathetic Innervation Imaging in Individuals With Heart Failure

RAD604.012

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