Billing and Coding: Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)

CCT and CCTA are covered when the medical record documents medical necessity consistent with the attached Local Coverage Determination (LCD). Claims must include valid ICD-10-CM diagnosis codes, and for services requiring a referring/ordering physician the referring provider's name and NPI must be reported; required documentation (medical history, exam, test results, formal report, images, and reconstruction data) must be maintained and available to Medicare. Procedure codes are subject to NCCI and OPPS edits and must comply with those billing rules prior to submission.

"Cardiac CT (CCT) or Coronary CT Angiography (CCTA) is covered when the patient's medical record documents medical necessity consistent with the indications and limitations set forth in the attached..."

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