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The following codes are authorized by AIM Specialty Health (AIM). Visit aimspecialtyhealth.com to request authorization and to access guidelines. Cardiology (Echocardiogram) Program Codes Code Code Description 75557 MRI Cardiac for morphology and function without contrast material; 75559 MRI Cardiac for morphology and function without contrast material; with stress imaging MRI Cardiac for morphology and function without contrast material(s), followed by contrast 75561 material(s) and further sequences; MRI Cardiac for morphology and function without contrast material(s), followed by contrast 75563 material(s) and further sequences; with stress imaging Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition to code 75565 for primary procedure) Computed tomography, heart, without contrast material, with quantitative evaluation of coronary 75571 calcium 78451 Myocardial perfusion imaging, tomographic (SPECT) Myocardial perfusion imaging, tomographic (SPECT), multiple studies at rest and/or stress. And/or 78452 redistribution and or rest reinjection Myocardial perfusion planar single study including qualitative or quantitative wall motion, ejection 78453 fraction by 1st pass or gated technique, rest or stress Myocardial perfusion planar multiple studies including qualitative or quantitative wall motion, ejection 78454 fraction by 1st pass or gated technique, rest and/or stress 78466 Planar, infarct avid; qualitative or quantitative 78468 Planar, infarct avid; with ejection fraction by first pass technique 78469 SPECT, infarct avid; with or w/o quantification 78472 Cardiac blood pool, gated equilibrium; planar, single study, wall motion plus ejection fraction Cardiac blood pool gated equilibrium; planar, multiple studies, wall motion study plus ejection 78473 fraction 78481 Cardiac blood pool first pass tech; single study, wall motion study plus ejection fraction 78483 Cardiac blood pool first pass tech; multiple studies, wall motion study plus ejection fraction 78494 Cardiac blood pool gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction Cardiac blood pool imaging, gated equilibrium, single study, at rest, with right ventricular ejection 78496 fraction by first pass technique (List separately in addition to code for primary procedure) 93303 Transthoracic Echo cardiac anomalies 93304 Transthoracic Echo cardiac anomalies, limited 93306 Transthoracic Echo complete w color & spectral 93307 Transthoracic Echo complete wo color & spectral 93308 Transthoracic Echo limited 93312 Transesophageal Echo 93313 Transesophageal Echo probe only 93314 Transesophageal Echo interpretation 93315 Transesophageal Echo congenital 93316 Transesophageal Echo congenital, probe only 93317 Transesophageal Echo congenital interpretation Page 1 of 3 Code Code Description 93320 93321 93325 93350 93351 93352 Doppler echo exam of heart, complete Doppler echo exam of heart, limited Doppler color flow mapping Transthoracic Stress Echo, complete Transthoracic Stress Echo, complete w cont EKG Administration of echo contrast agent Page 2 of 3 Code Code Description Page 3 of 3
