Prior Auth Required

39075 - database/view/lcd.aspx?lcdid= &ver=7&keyword=fractional%20flow&keywordType

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Servicedatabase/view/lcd.aspx?lcdid= &ver=7&keyword=fractional%20flow&keywordType
Procedure / Service Description

SOURCES - 2. Medicare LCD L39075, Non-Invasive Fractional Flow Reserve(FFR) for Stable Ischemic Heart Disease https://www.cms.gov/medicare-coverage- database/view/lcd.aspx?lcdid=39075&ver=7&keyword=fractional%20flow&keywordType =starts&areaId=s65&docType=NCA,CAL,NCD,MEDCAC,TA,MCD,6,3,5,1,F,P&contract Option=all&sortBy=relevance&bc=1

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.