I25.791, Atherosclerosis of other coronary artery bypass graft(s) with angina pectoris with documented spasmICD-10-CM
No Prior Auth Required
Covered without prior authorization (high confidence)
CGS-J15-L33959, Cardiac Catheterization and Coronary Angiography
J15
CGS-J15-L34045, Non-Invasive Vascular Studies
J15
CGS-J15-L40243, Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices
J15
CGS-J15-L34338, Transthoracic Echocardiography (TTE)
J15
CGS-J15-L40244, Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices
J15
CGS-J15-L33960, Cardiovascular Nuclear Medicine
J15
CGS-J18-L34045, Non-Invasive Vascular Studies
J18
CGS-J18-L34338, Transthoracic Echocardiography (TTE)
J18
CGS-J18-L33959, Cardiac Catheterization and Coronary Angiography
J18
CGS-J18-L33960, Cardiovascular Nuclear Medicine
J18
CGS-J18-L40244, Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices
J18
CGS-J18-L40243, Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices
J18
WPS-J5-L39913, Artificial Intelligence Enabled CT Based Quantitative Coronary Topography (AI-QCT)/Coronary Plaque Analysis (AI-CPA)
J5
A57476, Billing and Coding: Electrocardiographic (EKG or ECG) Monitoring (Holter or Real-Time Monitoring)
J5
WPS-J5-L35121, Coronary Computed Tomography Angiography (CCTA)
J5
WPS-J5-L35490, Category III Codes
J5
WPS-J5-L34636, Electrocardiographic (EKG or ECG) Monitoring (Holter or Real-Time Monitoring)
J5
WPS-J5-L34761, Percutaneous Coronary Interventions
J5
WPS-J5-L35761, Non-Invasive Peripheral Arterial Vascular Studies
J5
A57479, Billing and Coding: Percutaneous Coronary Interventions
J5
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