CMSLocal Coverage Determination (LCD)

CMS Magnetic Resonance Angiography Form


Notes: Coverage is subject to the services being reasonable and necessary for the diagnosis or treatment of the specific patient involved.

Indications

(83690) Can Magnetic Resonance Angiography replace a more invasive test such as contrast angiography for the patient? 

Effective Date

10/24/2019

Last Reviewed

10/14/2019

Original Document

  Reference



Background for this Policy

Summary Of Evidence

N/A

Analysis of Evidence

N/A

The coverage criteria and definition of Magnetic Resonance Angiography (MRA) are found in the CMS Internet-only Manual, Pub 100-03, Medicare National Coverage Determinations Manual, Chapter 1, Part 4, §220.2. MRA is considered appropriate when it can replace a more invasive test (e.g., contrast angiography) and reduce risk for beneficiaries. In addition, the services must be reasonable and necessary for the diagnosis or treatment of the specific patient involved.