Cardiovascular Nuclear Imaging and Stress Testing - Medicare Advantage

Cardiovascular nuclear imaging and stress testing — including SPECT myocardial perfusion imaging (rest, exercise, pharmacologic), PET/PET‑CT for perfusion and viability, absolute myocardial blood flow quantitation, and cardiac blood‑pool/MUGA studies — is covered for evaluation of suspected or known coronary artery disease, myocardial infarction, myocardial viability, ventricular function, and microvascular disease. Coverage is governed by applicable Medicare NCDs/LCDs and the MAC’s jurisdictional rules (Humana applies the MAC’s LCD within its geographic jurisdiction), requires Medicare medical‑necessity criteria be met, and specific indications, frequency, coding, and exclusions are defined in the referenced CMS determinations.

"LCD L33560: Cardiovascular Nuclear Medicine — implied coverage topic"

Sign up to see full coverage criteria, indications, and limitations.