Tilt Table Testing - (0270)

Tilt table testing is covered only for evaluation of syncope (ICD‑10 R55) when the cause remains undetermined after a complete history/physical and appropriate tests, when results are needed to guide treatment despite a suspected cause, or to differentiate convulsive syncope from epilepsy, and is excluded for single typical vasovagal events, unexplained falls without syncope, presumed neurally mediated near‑syncope/dizziness, follow‑up testing, chronic fatigue, recurrent vertigo/TIAs, and any diagnosis other than R55 (do not bill CPT 93660 to describe autonomic nerve testing). Key requirements: documented detailed history and physical, prior diagnostic testing including 12‑lead ECG, echocardiogram and formal exercise testing, clinical justification that cause is unknown or test will alter management, continuous ECG and blood‑pressure recordings during the test, and use of the appropriate covered diagnosis and procedure codes.

"Tilt table testing with or without the administration of provocative agents (e."