Billing and Coding: Cardiac Radionuclide Imaging

For preoperative cardiac radionuclide stress testing in asymptomatic patients deemed at moderate risk, coverage is allowed only when the medical record documents at least one specified at-risk condition: diabetes with complications, peripheral vascular disease, aortic aneurysm, or cerebrovascular disease. Tests performed in this context without such documentation are not covered; providers must document the qualifying diagnosis in the medical record.

"Preoperative cardiac stress testing with radionuclide imaging for asymptomatic patients deemed at moderate risk is covered only if the medical record documents at least one of the following: diabet..."

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