MED.00053 Non-Invasive Measurement of Left Ventricular End Diastolic Pressure in the Outpatient Setting

This policy addresses non-invasive measurement of left ventricular end-diastolic pressure (LVEDP) in the outpatient setting, including devices such as the VeriCor system. Anthem deems this service investigational/experimental and not medically necessary; therefore, it is not covered under any indication, and claims (e.g., CPT/HCPCS 93799) for outpatient non-invasive LVEDP measurement are not eligible for reimbursement.

"Non-invasive measurement of left ventricular end diastolic pressure in the outpatient setting is consideredinvestigational and not medically necessary."

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