Cardiointegram (CIG) as an Alternative to Stress Test or Thallium Stress Test Form
Procedure is not covered
Background for this Policy
A cardiointegram device consists of a microcomputer which receives output from a standard electrocardiogram (EKG) and transforms it to produce a graphic representation of heart electrophysiologic signals. This procedure is used primarily as a substitute for Exercise Tolerance Testing with Thallium Imaging in patients for whom a resting EKG may be inadequate to identify changes compatible with coronary artery disease.
Because this device is still considered investigational pending additional data on its clinical efficacy/sensitivity and value as a diagnostic tool, program payment may not be made for its use at this time.
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Review how this policy can be converted into cited criteria, prior authorization checks, and operational automation.