Cardiology Coding Alert
Tilt Table Testing
Alabama Subscriber
Answer: Most Medicare carriers consider only one diagnosis, syncope (780.2), acceptable for tilt-table tests (93660, evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention), notes Terry Fletcher, BS, CPC, CCS-P, a cardiology coding and reimbursement specialist in Laguna Beach, Calif.
WPS Health Services, the local Medicare carrier in Illinois, Michigan, Minnesota and Wisconsin, however, accepts the following eight ICD-9 codes as well:
337.0 idiopathic peripheral autonomic neuropathy
337.1 peripheral autonomic neuropathy in disorders classified elsewhere
352.3 disorders of pneumogastric [10th] nerve
458.0 orthostatic hypotension
458.1 chronic hypotension
458.8 other specified hypotension
458.9 hypotension, unspecified
780.4 dizziness and giddiness.
Alabama Medicare, which is administered by Blue Cross Blue Shield of Alabama, has not published any guidelines for tilt table testing. It likely accepts the syncope diagnosis because in a published policy on implantable loop recorders (ILRs) it allows the placement of an ILR in patients who have had syncopal episodes but could not be diagnosed using the tilt table.
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Tilt Table Testing
Question: Is there a list of payable diagnoses for tilt table testing?
Alabama Subscriber
Answer: Most [...]
