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Official Description

Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed with intraprocedural coronary fractional flow reserve (ffr) with 3d functional mapping of color-coded ffr values for the coronary tree, derived from coronary angiogram data, for real-time review and interpretation of possible atherosclerotic stenosis(es) intervention
Short Descr R&l hrt angio w/ffr & 3d map
Coverage Special coverage instructions apply
Pricing Indicator(s) 99 – Value not established
MPI 9 – Not applicable, as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
Statute 1833(t)
BETOS P2F – Major procedure, cardiovascular-Other
TOS Code(s) 2 – Surgery
Added Date 1/1/2025
Action Code A – Add procedure or modifier code (effective 1/1/2025)
APC Status Indicator Non-Covered Service, not paid under OPPS
ASC Payment Indicator Non office-based surgical procedure added in CY 2008 or later; payment based on OPPS relative payment weight.
MUE Not applicable/unspecified.
MUE Not applicable/unspecified.
OTS Orthotic No
Date
Action
Notes
2026-01-01 Added First appearance of addition in codebook.
2025-01-01 Added Code added.
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