Cardiology-06

Cardiology

Select Sub-section

Indicates Non-Covered Service

Ambulatory Blood Pressure Monitoring (NCD 20.19)

-Aetna-

-FloridaBlue-

Ambulatory External and Implantable Electrocard-iographic Monitoring

-Cigna-

Cardiac Electro-physiological (EP) Studies

-Cigna-

Cardiac Event Detection Monitoring

-FloridaBlue-

Cardiac Output Monitoring by Thoracic Electrical Bioimpedance (TEB)

-FloridaBlue-

Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography (L34324)

Cardiovascular Nuclear Medicine - Cardiac Blood Pool Studies (L33560)

Cardiovascular Nuclear Medicine - Infarct Avidity Studies (L33560)

Cardiovascular Nuclear Medicine - Perfusion with or without Functional Studies (L33560)

Echocardiography done with Ultrasound Enhancing Agent (UEA)

Stress Echocardiography

Electrocardiograms (L34315)

Exercise Stress Test

Enhanced External Counterpulsation (EECP)

-Anthem-

Fractional Flow Reserve CT

Holter

Monitor

Long-Term Wearable Electrocardiographic Monitoring (WEM)

Microvolt

T-Wave

Alternans (MTWA)

Myocardial Perfusion Imaging (Nuc Card)

Non-emergent Outpatient Stress Testing

Noninvasive Tests of Carotid Function

Real-Time, Outpatient Cardiac Telemetry

Rebreathing of Inert Gas for Measurement of Cardiac Output & Validation of Intra-Cardiac Shunt

Signal Averaged Electrocar-diography (SAECG)

-FloridaBlue-

Surveillance of Implantable or Wearable Cardioverter Defibrillators (ICDs)

Tilt Table Testing for Syncope

-Humana-

Transtelephonic Monitoring of Cardiac Pacemakers

-FloridaBlue-

Intraoperative Ventricular Mapping

Resynchronization Implantable

Cardiac

Defibrillator

Angioplasty (Extracranial, Intracranial) & Intracranial Aneurysm Repair

Balloon-Expandable Venous Stents

-Commercial-

Biventricular Pacing/Cardiac Resynchron-ization Therapy

Coronary Angiography in the Outpatient Setting

Cardioverter Defibrillators

-Humana-

Coronary Stents & Angioplasty

-Humana-

Diagnostic Coronary Angiography

-FloridaBlue-

Drug-eluting

Stents

Dual Chamber Pacemaker

Endovascular Procedures for Intracranial Arterial Disease

Embolization Procedures

Endovascular Procedures for Intracranial Arterial Disease

Endovenous Stenting Medicare

-Medicare-

Extracranial Carotid Angioplasty & Stenting

-FloridaBlue-

Implanted Cardiac Defibrillator

Intracardiac Electrophysiological Studies (EPS) & Catheter Ablation

Intraoperative Ventricular Mapping

Intravascular Coronary Brachytherapy

Leadless Cardiac Pacemakers

Maze

Procedure

-Anthem-

Mechanical Embolectomy for Treatment of Acute Stroke

MUGA

Scan

Non-Coronary Vascular Stents - Lower Brachiocephalic Arteries

Non-Coronary Vascular Stents - Lower Extremity Arteries

Non-Coronary Vascular Stents - Pulmonary Artery Stenting

Non-Coronary Vascular Stents - Renal Artery

Non-Coronary Vascular Stents - Venous Stents

Non-Coronary Vascular Stents - Mesenteric Vessels

Pacemakers

-Anthem-

-Cigna-

Pacemaker Bradycardia/AV Block

Percutaneous Coronary Interventions

-FloridaBlue-

Percutaneous Left Atrial Appendage Closure Device for Stroke Prevention

Percutaneous LEFT ATRIAL APPENDAGE CLOSURE (LAAC) (NCD 20.34)

Peripheral Atherectomy & Thrombectomy Devices

Peripheral

Vascular

Stents

-FloridaBlue-

-Medicare-

Resync

ICD

Single Chamber Pacemaker

Stenting

Iliac Vein Compression May-Thurner Syndrome

Transcatheter Ablation for the Treatment of Supraventricular Tachycardia in Adults

-Cigna-

Transcatheter Ablation of Arrhythmogenic Foci in the Pulmonary Veins

Transcatheter Aortic Valve Implantation / Replacement

-FloridaBlue-

-Humana-

Transcatheter Closure of Septal Defects, Fenestrated Fontan Procedure, & Patent Ductus Arteriosus

Transcatheter Intravascular Stents

-Humana-

Transcatheter MITRAL VALVE Repair (TMVR)

-FloridaBlue-

Transcatheter Placement of Intracranial Stent

Transcatheter Pulmonary Valve Implantation

Transcatheter Valve Procedures

-Humana-

Transcoronary Ablation of Septal Hypertrophy (TASH)

Treatment for Varicose Veins

& Venous Insufficiency

-Humana-

-FloridaBlue-

-Medicare-

-Humana-

-UHC-

Treatment of Varicose Veins of Lower Extremity

Medicare

-Cigna-

Ultrafiltration in Decompensated Heart Failure

-Anthem-

Vascular Stenting Lower Extremity Arteries

Vena Cava

Filter

Venous Angioplasty with or without Stent Placement for the Treatment of Chronic Cerebrospinal Venous Insufficiency

Wearable & Non-Wearable Cardioverter Defibrillators (WCD) for the Prevention of Sudden Cardiac Death

Cardiac Rehabilitation

Low Density Lipoprotein (LDL) Apheresis

Outpatient Cardiac Rehabilitation

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