Update to Local Coverage Determination for Coronary CT Angiography and Electron Beam Computed Tomography of the Coronary Vessels

• Alabama – L21041
• Georgia – L21526
• Mississippi – L21609

Effective: January 1, 2007

Notification of the final Local Coverage Determination for Coronary CT Angiography and Electron Beam Computed Tomography of the Coronary Vessels was published in the March 2006 issue of the Medicare newsletter. Effective for claims with dates of service January 1, 2007 and after, the LCD is updated to include coverage for the following indication:

When used in the assessment of coronary or pulmonary venous anatomy for the procedures described below:

CTA of the coronary veins is indicated when imaging of the coronary venous anatomy is necessary for biventricular pacemaker lead insertion.

CTA of the pulmonary veins is indicated when imaging of the pulmonary vasculature is necessary for pulmonary vein catheter ablation procedures for atrial fibrillation.

ICD-9 code V72.81 (preoperative cardiovascular examination) and either ICD-9 code 427.31 (atrial fibrillation) or 427.32 (atrial flutter) are to be used for these indications and have been added to the LCD. No other pre-procedure indications are covered at this time.

A copy of the updated Local Coverage Determination can be found at https://www.cahabagba.com. Click on your state for the information you need.