Currently our Out-Patient facility is performing Tilt Table testing for a
local Neurologist. What CPT code should be used and what would be an
Below is an example of a Medicare carrier local medical review policy addressing
the subject. It may be found at the following web address:http://www.lamedicar...est.aspMedicare
Part B Medical
It identifies CPT Code 93660 for this particular policy. The CPT 2002 manual
definition of 93660 also refers to codes 95921-95923 for testing autonomic
nervous system function. You chould check with your payers to determine their
coverage policy for this particular service.
The recently published Medicare physicians fee schedule (available on the
PTManager website) indicates the Medicare allowable fee. This could be a good
starting point for establishing your charge.
E. Ciolek, PT, MS, GCS
SUBJECT: TILT TABLE EVALUATION
Tilt table testing consists of the positioning of a patient on a motorized tilt
table which can quickly move the patient from the supine position to an upright
angle of 45-80 degrees and hold the patient in this position for an extended
time period. During the test, heart rate and blood pressure are monitored. An
intravenous line may be used for delivery of pharmacologic agents.
POLICY TYPE: Local medical necessity policy
& BENEFIT CATEGORY: Medicine; Cardiovascular
HCPCS CODES©: 93660
HCFA's NATIONAL POLICY:
- Title XVIII of the Social Security Act, section 1862 (a) (7). This section
excludes routine physical examinations.
- Title XVIII of the Social Security Act, section 1862 (a) (1) (A). This section
allows coverage and payment for only those services that are considered to be
medically reasonable and necessary.
INDICATIONS & LIMITATIONS OF COVERAGE AND/OR MEDICAL NECESSITY:
This is a covered Medicare B service for patients with recurrent syncope or
arrhythmias that demonstrate medication tolerance problems.
ICD-9 CODES THAT SUPPORT MEDICAL NECESSITY:
REASONS FOR DENIAL:
There is no literature to support the efficacy of this procedure for any
indications other than those listed above.
NONCOVERED ICD-9 CODES: All others not listed above.
SOURCES OF INFORMATION:
Physicians' Current Procedural Terminology (CPT);
TEC (Med 93660.0 - 04/1993);
This policy was developed in conjunction with our Medical Services Review
Committee (10/1991) which consists of primary care and relative specialties
(LAMSRC Item 91-3).
93660 - Evaluation of cardiovascular function with tilt table evaluation, wtih
continuous ECG monitoring and intermittent blood pressure monitoring, with or
without pharmacological intervention
This policy does not take precedence over the Correct Coding Initiative (CCI)
and CCI does not interfere with Indications/Limitations or acceptable diagnoses
OTHER COMMENTS: Medicare Providers' News LA96-05 and LA93-06; Investigational
prior to 10/02/1991
START DATE OF COMMENT PERIOD: 09/13/1991
START DATE OF NOTICE PERIOD:
EFFECTIVE DATE: 10/02/1991
" CPT codes, descriptions, and other data only are copyright 1999 American
Medical Association (or such other date of publication of CPT). All Rights
Reserved. Applicable FARS/DFARS Apply. "