About this policy
CMS National Coverage Determination | ncd_id=262 | manual_section=20.24 | coverage_level_code=2 | national_coverage_type=True | under_review=False | lab_ncd=False
Coverage indications
A. Cardiokymography Cardiokymography is covered for services rendered on or after October 12, 1988. Cardiokymography is a covered service only when it is used as an adjunct to electrocardiographic stress testing in evaluating coronary artery disease and only when the following clinical indications are present: For male patients, atypical angina pectoris or nonischemic chest pain; or For female patients, angina, either typical or atypical. B. Photokymography - Not Covered Photokymography remains excluded from coverage.
Documentation requirements
Item/Service Description: Displacement cardiography, including cardiokymography and photokymography, is a noninvasive diagnostic test used in evaluating coronary artery disease. Revision History: 09/1988 - Cardiokymography covered for certain indications. Photokymography remained noncovered. Effective date 10/12/1988. (TN 33) Benefit Categories: 20 - Diagnostic Tests (other) Transmittal: transmittal_number=33 | transmittal_issue_date=1988-09-01
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
Backwork has no codes on record for this policy. Check the source.