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Response to Comments: Non-Invasive Fractional Flow Reserve (FFR) for Ischemic Heart Disease (DL38839)
A59161
Wisconsin Physicians Service Insurance Corporation (J05)
Effective: August 14, 2022
Updated: December 31, 2025
See LCD L38839Policy Summary
This response-to-comments article indicates that the Medicare policy on non-invasive (CT-derived) fractional flow reserve for ischemic heart disease was revised following the 2021 multi-society guideline and that Policy L38839 entered notice (06/30/2022–08/13/2022) and becomes effective 08/14/2022. The document cites guideline and trial literature as the evidence base but does not state explicit coverage, exclusion, documentation, or frequency criteria in the text provided; review of policy L38839 is required for actionable coverage rules.
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Key requirements from the full policy
"This document pertains to the use of non-invasive fractional flow reserve (FFR) derived from coronary CT angiography for evaluation of ischemic heart disease."
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