Transesophageal and Transthoracic Echocardiography - Medicare Advantage

Covers transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE) for diagnostic imaging of cardiac structure, function and blood flow, including evaluation of valves, aortic root/ascending/descending aorta, left atrium/pulmonary veins and myocardial perfusion. Intended for patients needing detailed cardiac assessment — e.g., suspected valvular or aortic disease, posterior cardiac-structure pathology, or when TTE is inadequate or inconclusive. Coverage is limited to medically necessary, well‑documented services performed by qualified providers and governed by applicable Medicare NCDs/LCDs (e.g., NCD 220.5, L33577/L33579/L34338), with jurisdiction‑specific criteria and documentation requirements.

"Ultrasound Diagnostic Procedures as described under NCD 220."

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