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PLA Codes

Laboratory Fee Schedule

2019
2018

Physician Fee Schedule

2019
2018

OPPS Fee Schedule

2019
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ASC Fee Schedule

2019
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APC Codes

2019
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DRG Codes

2019
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ASP Drug Pricing Files

January 2019
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CMS Transmittals



National Coverage Determination
Procedure Code: 8XXXX
Microvolt T-Wave Alternans (MTWA)
CMS Policy Number: 20.30
Back to NCD List



To review all requirements of this policy, please see: CMS NCD listing by Chapter

Covered ICD-10 Codes.

ICD-10Descriptor
I21.01 STEMI involving left main coronary artery
I21.02 STEMI involving left anterior descending coronary artery
I21.09 STEMI involving oth coronary artery of anterior wall
I21.11 STEMI involving right coronary artery
I21.19 STEMI involving oth coronary artery of inferior wall
I21.21 STEMI involving left circumflex coronary artery
I21.29 STEMI involving oth sites
I21.3 ST elevation (STEMI) myocardial infarction of unsp site
I21.4 Non-ST elevation (NSTEMI) myocardial infarction
I21.A1 Myocardial infarction type 2
I22.0 Subsequent STEMI of anterior wall
I22.1 Subsequent STEMI of inferior wall
I22.2 Subsequent non-ST elevation (NSTEMI) myocardial infarction
I22.8 Subsequent STEMI of sites
I22.9 Subsequent STEMI of unsp site
I24.8 Other forms of acute ischemic heart disease
I24.9 Acute ischemic heart disease, unspecified
I47.0 Re-entry ventricular arrhythmia
I47.2 Ventricular tachycardia
I49.01 Ventricular fibrillation
I49.02 Ventricular flutter
R55 Syncope and collapse

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All code-pairs and Medicare coverage information are compiled directly from Center for Medicare and Medicaid Services (CMS) and Medicare Contractor coverage policies. CodeMap® has made every reasonable effort to ensure the accuracy of the information contained. However, the ultimate responsibility for correct coding and claims submission lies with the provider of services. Both CMS and Medicare contractor coverage policy information may change at any time. CodeMap® makes no representation, warranty, or guarantee that this compilation of coverage policy information is error-free or that the use of this information will result in Medicare coverage and subsequent payment of claims. Final coverage and payment of claims are subject to many factors exclusively controlled by CMS and its contractors.


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