icd 10 code for lexiscan cardiolyte

To report the thallium, use A9505 (Thallium tl-201 thallous chloride, diagnostic, per millicurie). For the Lexiscan, use J2785 (Injection, regadenoson, 0.1 mg), and assign A9502 (Technetium tc-99m tetrofosmin, diagnostic, per study dose) for the Myoview.

Full Answer

What is the ICD 10 code for echocardiography?

DOPPLER ECHOCARDIOGRAPHY COLOR FLOW VELOCITY MAPPING (LIST SEPARATELY IN ADDITION TO CODES FOR ECHOCARDIOGRAPHY) The following list of ICD-10-CM codes applies to cardiovascular stress testing CPT codes 93015, 93016, 93017, 93018, 93350, 93351 93352 and J0153.

What is the ICD 10 code for cardiac stress monitoring?

Monitoring of Cardiac Stress, External Approach. 2016 2017 2018 2019 2020 2021 Billable/Specific Code. ICD-10-PCS 4A12XM4 is a specific/billable code that can be used to indicate a procedure. Code History. 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-PCS) 2017 (effective 10/1/2016): No change.

What are the coding requirements for Lexiscan a?

Coding requirements vary by payer. 1 The coding systems in the following tables can assist you in coding for Lexiscan a: Atherosclerosis of coronary artery bypass graft (s), unspecified, with angina pectoris with documented spasm

What are the ICD-10 codes for medical necessity?

The following ICD-10 Codes were added to the ICD-10 Codes that Support Medical Necessity field:E78.89. This revision is due to the Annual ICD-10 Code Update and becomes effective October 1, 2018. 12/26/2017: At this time 21st Century Cures Act will apply to new and revised LCDs that restrict coverage which requires comment and notice.

What is the CPT code for Lexiscan cardiolite stress test?

78452-26 or 78454-26 depending of the way the test was performed.

Is Lexiscan the same as regadenoson?

LEXISCAN® (regadenoson) injection is a pharmacologic stress agent indicated for radionuclide myocardial perfusion imaging (MPI) in patients unable to undergo adequate exercise stress. The recommended dose of LEXISCAN is 5 mL (0.4 mg regadenoson) administered as an intravenous injection within 10 seconds.

What is a Lexiscan cardiolite stress test?

The camera will record images that show the cardiologist how well blood circulates through the coronary arteries to each area of the heart muscle during cardiac stress. If a part of the heart muscle doesn't receive a normal blood supply, less than a normal amount of cardiolite will be in those heart muscle cells.

Is a Lexiscan the same as a nuclear stress test?

What is an Adenosine or Lexiscan nuclear scan? It is similar to the exercise nuclear stress test except for the fact that Adenosine or Lexiscan is used to stress the heart. Adenosine is infused over 4-6 minutes, while Lexiscan is given over a few seconds.

What is another name for Lexiscan?

LEXISCAN® (regadenoson) injection is a pharmacologic stress agent indicated for radionuclide myocardial perfusion imaging (MPI) in patients unable to undergo adequate exercise stress.

What is the difference between Lexiscan and dobutamine stress test?

Dobutamine is used to treat cardiogenic shock and heart failure. Lexiscan is given in preparation for a radiologic (X-ray) examination of blood flow through the heart to test for coronary artery disease. Dobutamine is a catecholamine and Lexiscan injection is a stress agent.

Is a cardiolite stress test a nuclear stress test?

During a nuclear stress test, first you will be injected with Cardiolite, a radioactive tracer, in the vein of your arm or hand. Cardiolite is taken up by the heart muscle through the coronary arteries in proportion to the blood flow to it. This material should not affect you in any way.

What does cardiolite mean?

A thallium (or cardiolite) scan uses a radioactive tracer to see how much blood is reaching different parts of your heart. These tests are the more common forms of tests called nuclear medicine scans. You may also hear them called: thallium myocardial imaging. cold spot imaging.

What is the difference between a nuclear stress test and a stress test?

A regular stress test shows the EKG, heartrate and blood pressure while you are walking on a treadmill. A nuclear stress test shows your physician pictures of the blood flow to the heart muscle, in addition to the EKG, heartrate and blood pressure.

When will Lexiscan be generic?

April 11th, 2022A generic version of LEXISCAN was approved as regadenoson by ACCORD HLTHCARE on April 11th, 2022.

What are the 2 types of stress tests?

There are three main types of stress tests: exercise stress tests, nuclear stress tests, and stress echocardiograms. All types of stress tests may be done in a health care provider's office, outpatient clinic, or hospital.

Are there different types of nuclear stress tests?

There are two types of nuclear stress tests, one that is used in conjunction with exercise (exercise stress test) and one that is used in conjunction with medication (pharmacologic stress test).

General Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

Title XVIII of the Social Security Act (SSA), 1862 (a) (1) (A), states that no Medicare payment shall be made for items or services that “are not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member.” Title XVIII of the Social Security Act, 1862 (a) (7) and 42 Code of Federal Regulations, Section 411.15, exclude routine physical examinations. Title XVIII of the Social Security Act, 1833 (e), prohibits Medicare payment for any claim lacking the necessary documentation to process the claim. CMS Manual System, Pub.

Article Guidance

Article Text The following coding and billing guidance is to be used with its associated Local coverage determination. Supportive documentation evidencing the condition and treatment is expected to be documented in the medical record and be available upon request. Documentation in the patient’s medical record must substantiate the medical necessity of the service, including the following: • A clinical diagnosis, • The specific reason for the study, • Reason for performing a stress echocardiogram as opposed to only an electrical stress test, • The reason for using any pharmacological stress, and • The reason for a stress echocardiogram if a stress nuclear test is also performed for the same patient for the same clinical condition. Document the referral order (written or verbal) in the patient’s medical record.

ICD-10-CM Codes that Support Medical Necessity

The following list of ICD-10-CM codes applies to cardiovascular stress testing CPT codes 93015, 93016, 93017, 93018, 93350, 93351 93352 and J0153. Since J0395, J1245, and J1250 may be billed for indications other than pharmacological stress agents with cardiovascular testing, the use of these drugs is not subject to the following list of ICD-10-CM diagnoses:.

ICD-10-CM Codes that DO NOT Support Medical Necessity

Any diagnosis inconsistent with the Indications and Limitations of Coverage and/or Medical Necessity section, or the ICD-10-CM descriptors in the ICD-10-CM Codes That Support Medical Necessity section.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

What is the code for stress echocardiogram?

Code 93350 is used to report the performance and interpretation of a stress echocardiogram only. Bill codes 93015–93018 if the stress test is performed in a hospital setting, along with procedure code 93350. If the stress test and echocardiogram are performed in an office, bill combined code 93351.

What are the contraindications for angina?

Contraindications may include, when used for diagnostic purposes, patients with the following diseases, signs or symptoms: Clinically significant acute myocarditis or pericarditis. Signs of unstable progressive angina. This includes the patient who has long periods of angina of fairly recent onset while at rest.

Document Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

Title XVIII of the Social Security Act (SSA), 1862 (a) (1) (A), states that no Medicare payment shall be made for items or services that “are not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member.” Title XVIII of the Social Security Act, 1862 (a) (7) and 42 Code of Federal Regulations, Section 411.15, exclude routine physical examinations. Title XVIII of the Social Security Act, 1833 (e), prohibits Medicare payment for any claim lacking the necessary documentation to process the claim. CMS Manual System, Pub.

Coverage Guidance

A cardiovascular stress test is a diagnostic test designed to evaluate a patient for the presence or the severity of coronary artery disease (CAD), exercise-induced arrhythmias or hemodynamic changes, and/or cardiac functional capacity.