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Archival of policy regarding myocardial perfusion imaging

February 3, 2020

Effective March 30, 2020, the AmeriHealth Claim Payment Policy #03.02.12c: Electrocardiogram (ECG/EKG) Reported with Single Photon Emission Computed Tomography (SPECT) for Myocardial Perfusion Imaging (MPI) will be archived.

Reason for policy archival

AmeriHealth follows Medicare Correct Coding Initiative (CCI) Code Pair Edits, and the following CPT® procedure codes will be applied to the reporting of ECG/EKG codes in conjunction with SPECT for MPI:

Service type Procedure codes

ECG/EKG

  • 93000
  • 93005
  • 93010

SPECT for MPI

  • 78451
  • 78452

Learn more

Advance notification of archival was posted on the Medical Policy Portal on December 27, 2019. To view this Notification, visit the Medical Policy Portal.

For more information about NCCI coding, please review Claim Payment Policy #00.01.56a: National Correct Coding Initiative (NCCI) Code Pair Edits, which is available on our Medical Policy Portal.

CPT Copyright 2017 American Medical Association. All rights reserved. CPT® is a registered trademark of the American Medical Association.


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