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Billing and Coding: Coronary Computed Tomography Angiography (CCTA)
A57552
Wisconsin Physicians Service Insurance Corporation (J05)
Effective: October 30, 2025
Updated: December 31, 2025
See LCD L35121Policy Summary
This billing and coding article (A57552) defers all clinical coverage indications, limitations, documentation requirements, and frequency limits for Coronary CT Angiography (CCTA) to the associated Local Coverage Determination LCD L35121. Consult LCD L35121 for the specific medical necessity criteria, exclusions, required documentation, and any utilization limits; the A57552 article does not itself define clinical criteria.
Coverage Criteria Preview
Key requirements from the full policy
"Coverage indications for Coronary Computed Tomography Angiography (CCTA) are defined in the associated Local Coverage Determination LCD L35121; consult LCD L35121 for specific clinical criteria and..."
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