Wiki 93356

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mrsrobinson525 said:
Thank you for all this information.This is a new code for our practice and I've been tasked with gathering information on it. Now that I've figure out which jurisdiction I'm in, is there a list of approved codes somewhere online or is it noted next to the code in the CPT book?
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You’re welcome. The CMS website is a great source of reference for what you’re looking for. The CPT book does not provide payer specific guidelines. That knowledge typically comes from work experience in a billing department/ back end revenue cycle. Here’s a link from CMS.gov that you can navigate to help find the info you’re looking for
 
Chanel Wooten said:
You’re welcome. The CMS website is a great source of reference for what you’re looking for. The CPT book does not provide payer specific guidelines. That knowledge typically comes from work experience in a billing department/ back end revenue cycle. Here’s a link from CMS.gov that you can navigate to help find the info you’re looking for
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This above link is more related to the Stark Law and that list is the list of DHS as related to Physician Self Referral. It's not necessarily a list of "covered" CPT.

I think you might be looking for NCDs/LCDs possibly? https://www.cms.gov/medicare-coverage-database/search.aspx

Here's an example for an Anthem MCR plan that states it's non-covered: https://blue.regence.com/medicare/med/m-med168.pdf
myocardial strain imaging component (add-on code 93356) is subject to the criteria noted below and denies as a nonreimbursable service (NRS) for Medicare Advantage.

Here's another Anthem plan that says it's investigational: https://al-policies.exploremyplan.c...t_publisher/gvKEs0SDu27L/content/mp-726/78515

Here's a webinar about it:
 
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