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

Billing for non‑invasive FFR (FFRct) is as a post‑processing analysis of a previously performed CCTA and coverage is governed by LCD L38839. Claims must include the referring/ordering physician’s name and NPI and the medical record must document the clinical findings prompting CCTA, a full CCTA report review before FFRct, symptoms consistent with stable ischemic heart disease, the patient’s BMI, and the FFR analysis report; NCCI/OPPS edits and ABN use may affect payment.

"Non-invasive FFR (FFRct) is billed as a post‑procedure analysis of a previously performed Coronary Computed Tomographic Angiography (CCTA) for evaluation of ischemic heart disease."

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