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Obsolete or Unreliable Diagnostic Tests
A. Diagnostic Tests
Do not routinely pay for the following diagnostic tests because they are obsolete and have been replaced by more advanced procedures. The listed tests may be paid for only if the medical need for the procedure is satisfactorily justified by the physician who performs it. When the services are subject to the Quality Improvement Organization (QIO) Review, the QIO is responsible for determining that satisfactory medical justification exists.
When the services are not subject to QIO review, the A/B Medicare Administrative Contractor is responsible for determining that satisfactory medical justification exists. This includes:
B. Cardiovascular Tests
Do not pay for the following phonocardiography and vectorcardiography diagnostic tests because they have been determined to be outmoded and of little clinical value. They include:
04/01/1997 - Excluded coverage of 10 phonocardiography and vectorcardiography diagnostic tests. Effective 1/1/1997. (TN 96)
03/2006 - Delete coding information. Effective/Implementation date: 06/19/2006. (TN 48) (CR4278)