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Billing 93571

Date: Aug 15, 2022

Question:

I have denials for 93571 as the the pharmacologically induced stress in not included in the report, so a -52 should be added to the code. My doctors responded to my question to them about are they performing the induced stress with this answer.

"The new device the adenosine is not needed. Pharmacologically induced stress is no longer required or needed with the newer measurements of coronary flow such as DFR and iFR, as they are not dependent on maximal hyperemia. Almost the same degree of work is involved as in measurement of FFR, as you have to place a guide catheter into the coronary artery and then advance flow wire across lesion and take measurements of DFR or iFR."

Is there a better code or alternate for these measurements since they don't have to do the stress part?

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