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Billing and Coding: Cardiac Blood Pool Imaging (Multiple Gated Acquisition Scanning- MUGA, Ventriculography) When Performed in Conjunction with Cardiotoxic Chemotherapy
A54768
Effective: October 1, 2025
Updated: December 31, 2025
Policy Summary
Cardiac blood pool imaging (MUGA/ventriculography) performed in conjunction with cardiotoxic chemotherapy should be billed using CPT codes 78472, 78473, 78481, 78483, 78494, or 78496 and appropriate ICD-10 timing codes: Z01.89 prior to initiation, T45.1X5A/D/S during therapy, and Z08 at completion. Include secondary Z85 personal history codes and the appropriate C- or D-code family entries per the Covered ICD-10 Codes section and CCI guidance.
Coverage Criteria Preview
Key requirements from the full policy
"Cardiac blood pool imaging (MUGA, ventriculography) is covered when performed for patients receiving cardiotoxic chemotherapy."
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