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Cardiology Coding Alert

Don't Miss Potential Payment Changes for Cardiac MRI

Published on Sat Sep 26, 2009

Keep your eyes peeled for payer updates on blood flow codes. Recent good news for cardiac MRI coverage may yield good news for MRA, too. CMS announced it will remove the phrase "blood flow measurement" from the Nationally Noncovered Indications at 220.2(C)(2) of the National Coverage Determinations Manual. Impact: Your local Medicare contractor will determine coverage of cardiac MRI for blood flow, which includes the following codes: • 75558 -- Cardiac magnetic resonance imaging for morphology and function without contrast material; with flow/velocity quantification • 75560 -- ... with flow/velocity quantification and stress • 75562 -- Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with flow/velocity quantification • 75564 -- ... with flow/velocity quantification and stress. Resource: You may search for NCDs here: www.cms.hhs.gov/mcd/index_list.asp. You also will find a national coverage analysis for magnetic resonance angiography (MRA) at this site. The MRI review convinced [...]
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