Billing and Coding: Non-Invasive Fractional Flow Reserve (FFR) for Ischemic Heart Disease

Non‑invasive FFR (FFRct) is a post‑processing service covered when performed following and based on a previously performed CCTA for evaluation of suspected stable ischemic heart disease, with the CCTA fully reviewed and its report submitted. Claims must include the referring physician's name and NPI and the medical record must document clinical findings leading to CCTA, symptoms consistent with stable ischemic heart disease, BMI, and the FFR analysis report; billing is subject to NCCI/OPPS edits and services likely to be non‑covered may require an ABN.

"Non‑invasive FFR (FFRct) is covered when performed as post‑procedure analysis of a previously performed Coronary Computed Tomographic Angiography (CCTA) to evaluate suspected stable ischemic heart ..."

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