Cardiac Imaging Guidelines

Covers a broad set of cardiac imaging modalities (stress echo, SPECT MPI, stress MRI, cardiac PET perfusion, CT/CCTA and CT calcium scoring, CMR, FDG PET/CT for infection, MUGA and diagnostic cath) for specific, condition‑based indications and surveillance intervals, while excluding or labeling investigational several novel techniques (e.g., automated plaque quantification CPT 0623T–0626T, AQMBF by CZT‑SPECT, I‑123‑mIBG sympathetic imaging, myocardial contrast perfusion CPT 0439T, and CMR strain C9762/C9763). Approvals require recent supporting documentation (clinical evaluation within 60 days, ECG and prior test reports, modality‑specific labs such as monoclonal protein testing before Tc‑99m pyrophosphate for ATTR), strict indication and interval criteria (e.g., CT calcium scoring only for asymptomatic 40–75 year‑olds with 10‑yr ASCVD risk 5–19.9% not on statins/no diabetes/no smoking/no prior calcium >0 and no score within 5 years, one stress imaging ≤3 months post‑ACS, stent ≥2 years, CABG ≥5 years), and adherence to specified coding/billing restrictions.