Prior Auth Required
0504T - CCTA
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceCCTA
Procedure / Service Description
AMA Addition - Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation software analysis of functional data to assess Effective 1/1/2018- CCTA 0504T Yes the severity of coronary artery disease; anatomical data review in comparison with estimated FFR model to reconcile AMA Addition discordant data, interpretation and report
Likely documents
- Confirm benefit details
- Submit clinical notes if requested by the plan
Next actions
- Confirm the current plan policy before submission.
- Use the insurer authorization workflow for this listed code.