Primary Care Doctor Info

To ensure your patient’s receive their full benefit we have provided you with the appropriate ICD's for testing provided at CDC. To assist your staff with referrals and
pre-certs CPT codes provided at CDC are listed.

Cardiac Testing Provided at CDC:

  • Nuclear Stress (Cardiolite) 78465,93015
  • Echocardiogram 93307
  • Stress Echocardiogram 93350
  • Holter Monitors 93224
  • Loop Monitor 93268,93270,93272

Click here for CPT Codes

ICD's for Nuclear Stress Testing /CARDIOLITE
*Pre-Cert may be required for Nuclear Stress
Diagnosis ICD Diagnosis ICD Diagnosis ICD
Abnormal EKG      794.31 Cardiac arrest 427.5 History of MI 412
Acute anterior wall MI 410.10 Chest pain 786.50 Shortness of breath 786.05
Acute chronic systolic heart failure 428.23 Chronic systolic heart failure 428.22 Unspecified diastolic heart failure 428.30
Acute systolic heart failure 428.21 Congestive heart failure 428.0 Unstable angina 411.1
Aneurysm of the heart 414.10 Coronary artery disease 414.00 Ventricular fibrillation 427.41
Angina pectoris 413.9 Heart failure 428.1 Ventricular flutter 427.42
CAD, native 414.01     Pre-surgical clearance V72.81
 
ICD's for Echocardiogram with Color Flow and Doppler
Diagnosis ICD Diagnosis ICD Diagnosis ICD
Acute anterior wall MI 410.10 Congenital aortic stenosis 746.3 Pericardial effusion 420.0
Acute chronic systolic heart failure 428.23 Congestive heart failure 428.0 Precordial pain 786.51
Acute systolic heart failure 428.21 Constrictive pericarditis 423.2 PVCs 427.69
Aneurysm of the heart 414.10     Pulmonary HTN, secondary 416.8
Angina pectoris 413.9 Coronary artery disease 414.00 Pulmonary insuf/regurg and stenosis 424.3
Aortic valve disorder / regurg / stenosis 424.1 Endocarditis 424.90 Shortness of breath 786.05
Atrial fibrillation 427.31 Heart failure 428.1 Stenosis / occ cerebral artery 434.00
Atrial flutter 427.32 Heart murmur 785.2 Supraventricular tachycardia 427.0
Atrial myxoma 212.7 Hypertension, malignant 401.0 Syncope 780.2
Atrial septal defect 745.5 Hypopolastic L heart 746.7 TIA 435.9
CAD, native 414.01 IHSS (HCM,OCM –hyper obstr cardiomyopathy) 425.1 Tricuspid valve regurg / sten / insuf 397.0
Cardiac arrest 427.5 Marfan’s syndrome 759.82 Unspecified Diastolic HF 428.30
Cardiac hypertrophy 429.3 Mitral and aortic regurg. 396.3 Unstable angina 411.1
Cardiomyopathy 425.4 Mitral stenosis 394.0 Ventricular fibrillation 427.41
Cerebral artery occlusion 434.00 Mitral valve disorder 424.0 Ventricular flutter 427.42
Chest pain 786.50 Paroxysmal atrial tachy 427.0 Ventricular septal defect 745.4
Chronic systolic heart failure 428.22  Paroxysmal ventricular tachy 427.1    
 
ICD's for Stress Echocardiogram and Routine Stress Tests
Diagnosis ICD Diagnosis ICD Diagnosis ICD
Abnormal EKG 794.31 Cardiomyopathy 425.4 PVCs 427.69
Acute anterior wall MI 410.10 Cardiomyopathy 425.1 Presurgical clearance V72.81
Acute chronic systolic heart failure 428.23 Chest pain 786.50 Pulmonary insuf/regurg and stenosis 424.3
Acute systolic heart failure 428.21 Chronic systolic heart failure 428.22 RBBB 426.4
Aneurysm of the heart 414.10 Congestive heart failure 428.0 Shortness of breath 786.05
Angina pectoris 413.9 Coronary artery disease 414.00 Syncope 780.2
Aortic valve disorder / regurg / stenosis 424.1 Heart failure 428.1 Unspecified Diastolic HF 428.30
Atrial fibrillation 427.31 Mitral and aortic regurg 396.3    
Atrial flutter 427.32 Mitral stenosis 394.0 Unstable angina 411.1
AV block complete or 3rd degree 426.0 Mitral valve disorder 424.0 Ventricular fibrillation 427.41
AV block 2nd degree 426.12 Paroxysmal vent tachycardia 427.1 Ventricular flutter 427.42
CAD, native 414.01 Precordial pain 786.51    
 
ICD's for Holter Monitors
Diagnosis ICD Diagnosis ICD Diagnosis ICD
Acute anterior wall MI 410.10 Cardiac arrest 427.5 Sick sinus syndrome 427.81
Angina pectoris 413.9 Heart block 426.9 Syncope 780.2
Atrial fibrillation 427.31 Left bundle branch hemiblock 426.2 Unstable angina 411.1
Atrial flutter 427.32 Other specified cardiac dysrhythmias 427.89 Ventricular fibrillation 427.41
AV block–complt or 3rd degree 426.0 Paroxysmal atrial tachycardia 427.0 Ventricular flutter 427.42
AV block – 1st degree 426.11 Paroxysmal ventricular tachycardia 427.1    
AV block – 2nd degree 426.12 RBBB 426.4    
 
ICD's for LOOP Monitors
Diagnosis ICD Diagnosis ICD Diagnosis ICD
Atrial fibrillation 427.31 Dizziness 780.4 Sick sinus syndrome 427.81
Atrial flutter 427.32 Other specified cardiac dysrhythmias 427.89 Syncope 780.2
AV block–complt or 3rd degree 426.0 Palpitations 785.1 Tachycardia 785.0
AV block – 1st degree 426.11 Paroxysmal atrial tachycardia 427.0 Ventricular fibrillation 427.41
AV block-incomplete or partial 426.10 Paroxysmal ventricular tachycardia 427.1 Ventricular flutter 427.42
AV block – 2nd degree 426.12 Premature atrial contractions (PAC) 427.61    
Cardiac arrest 427.5 Premature ventricular contractions (PVC) 427.69    

Vascular Coding Guide

To ensure that your patients receive their full benefit we are providing this guide sheet to assist you with choosing the appropriate ICD for the testing that you order.  CPT codes are also provided to assist your staff with referrals.

Description

CPT

Description

CPT

Carotid Ultrasound

93880

ABI/PVR w/Exercise

93924

Venous Extremity Study / Complete

93965

Abdominal Ultrasound / Complete

93975

Aorta, Vbena Cava, Scan / Complete

93978

Hepatic Portal

93975

Venous Ext. Ultrasound, Complete

93970

Messenteric

93975

Venous Ext. Ultrasound, Limited

93971

Upper Extremity Arterial / Complete

93930

Upper Extremity Arterial, Limited

93931

Renal Arterial Ultrasound

93976

Lower Ext Arterial Ultrasound, Complete

93925

Lower Ext Arterial Ultrasound, Limited

93926

Carotid Ultrasound, Limited

93882

Aorta, Vena Cava Scan / Limited

93979

ABI/PVR

93923

   

ICD’s for: CAROTID DOPPLER

Diagnosis ICD Diagnosis ICD Diagnosis ICD
Amaurosis fugax 362.34 Cerebral arteriosclerosis 437.0 Subclavian steal 435.2
Bypass Graft stenosis 996.74 Cerebral artery occlusion 434.00 Syncope 780.2
Bruit 785.9 Stenosis basilar artery 433.00 Visual field defects 368.40
Carotid stenosis 433.10 Stenosis/Occ cerebral artery 434.00    

ICD’s for: Venous Study of Extremities, Complete/Limited

Diagnosis ICD Diagnosis ICD Diagnosis ICD
Bypass Graft stenosis 996.74 Edema 782.3 Pulmonary embolism 415.19
 DVT 451.11 Pain (limb) 729.5    

ICD’s for: Upper Extremity Arterial, limited, Lower Ext Arterial US complete, ABI/PVR, ABI/PVR w/exercise, Upper Ext Arterial complete, Lower Ext Arterial
US Limited

Diagnosis ICD Diagnosis ICD Diagnosis ICD
AAA, not ruptured 441.1   440.22 Bypass graft stenosis 996.74
 Atherosclerosis of the Extremities 440.20   440.23 Claudication 443.9
  440.21   440.24 Pain (limb) 729.5

 

 

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