Medicaid:

Billing Manual: https://www.medicaidalaska.com/portals/wps/portal/enterprise/provider/billingmanuals/!ut/p/z1/04_Sj9CPykssy0xPLMnMz0vMAfIjo8ziXX2dw1zcfQwNLAz8LA2MjC0cvYNcDQzMvE30C7IdFQEEHX-l/

Medicare

A59771 - Billing and Coding: Artificial Intelligence Enabled CT Based Quantitative Coronary Topography (AI-QCT)/Coronary Plaque Analysis (AI-CPA)
https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59771&ver=5

A57184 - Billing and Coding: Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography
https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57184&ver=19

A57552 - Billing and Coding: Coronary Computed Tomography Angiography (CCTA)
https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57552&ver=17

A57327 - Billing and Coding: Electrocardiograms
https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57327&ver=28

A57476 - Billing and Coding: Electrocardiographic (EKG or ECG) Monitoring (Holter or Real-Time Monitoring)
https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57476&ver=20

A55756 - Billing and Coding: Home PT/INR Monitoring (G0249) Billing and Coding
https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55756&ver=16

A56391 - Billing and Coding: Implantable Automatic Defibrillators
https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56391&ver=32

A59828 - Billing and Coding: Leadless Pacemakers
https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59828&ver=11

A57590 - Billing and Coding: Non-Coronary Vascular Stents
https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57590&ver=10

A57591 - Billing and Coding: Non-Invasive Abdominal / Visceral Vascular Studies
https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57591&ver=16

A57592 - Billing and Coding: Non-Invasive Cerebrovascular Studies
https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57592&ver=17

A58097 - Billing and Coding: Non-Invasive Fractional Flow Reserve (FFR) for Ischemic Heart Disease
https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58097&ver=13

A58473 - Billing and Coding: Non-Invasive Fractional Flow Reserve (FFR) for Ischemic Heart Disease
https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58473&ver=10

A57593 - Billing and Coding: Non-Invasive Peripheral Arterial Vascular Studies
https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57593&ver=12

A57594 - Billing and Coding: Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies
https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57594&ver=18

A57479 - Billing and Coding: Percutaneous Coronary Interventions
https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57479&ver=13

A54958 - Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemaker
https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54958&ver=24

A54931 - Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers – Coding and Billing
https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54931&ver=32

LOCAL COVERAGE DETERMINATIONS (LCDs)

L39883 - Artificial Intelligence Enabled CT Based Quantitative Coronary Topography (AI-QCT )/Coronary Plaque Analysis (AI-CPA)
https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=39883&ver=8

L39913 - Artificial Intelligence Enabled CT Based Quantitative Coronary Topography (AI-QCT)/Coronary Plaque Analysis (AI-CPA)
https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=39913&ver=7

L36889 - Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography
https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=36889&ver=24

L35121 - Coronary Computed Tomography Angiography (CCTA)
https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35121&ver=31

L37283 - Electrocardiograms
https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=37283&ver=16

L34636 - Electrocardiographic (EKG or ECG) Monitoring (Holter or Real-Time Monitoring)
https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=34636&ver=36

L35998 - Non-Coronary Vascular Stents
https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35998&ver=34

L35755 - Non-Invasive Abdominal / Visceral Vascular Studies
https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35755&ver=33

L35753 - Non-Invasive Cerebrovascular Studies
https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35753&ver=37

L38839 - Non-Invasive Fractional Flow Reserve (FFR) for Ischemic Heart Disease
https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38839&ver=9

L35761 - Non-Invasive Peripheral Arterial Vascular Studies
https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35761&ver=38

L35751 - Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies
https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35751&ver=47

L34761 - Percutaneous Coronary Interventions
https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=34761&ver=32

L34536 - Treatment of Varicose Veins of the Lower Extremities
https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=34536&ver=34

Medical Necessity & Coverage Guidelines