MUGA (Multigated Radionuclide Angiography:
CPT: 78472, 78473, 78481, 78483, 78494, 78496
Note
These studies all measure ejection fraction, a measure of cardiac function. Similar data is available from SPECT myocardial perfusion imaging, and if such a study has been performed within a 10 days of a request for one of these examinations the request should be referred for physician review.
Note:
These studies all measure ejection fraction, a measure of cardiac function. Similar data is available from SPECT myocardial perfusion imaging, and if such a study has been performed within a 10 days of a request for one of these examinations the request should be referred for physician review.
Congestive Heart Failure
- New onset
- Change of clinical statusa
Prior to or during the administration of potentially cardiotoxic chemotherapy
References
- Gavin I.W. Galasko and Avijit Lahiri The non-invasive assessment of hibernating myocardium in ischaemic cardiomyopathy—a myriad of techniques. Eur J Heart Fail (2003) 5(3): 217-227.
- CMS Medicare coverage: http://www.cms.gov/medicare-coverage-database/details/ncddetails.aspx?NCDId=298&ncdver=1&SearchType=Advanced&CoverageSelection=National&NCSelection=NCD&KeyWord=Myocardial&KeyWordLookUp=Title&KeyWordSearchType=Exact&kq=true&bc=IAAAABAAAAAAAA%3d%3d&
- Hendel RC, et al. ACCF/ASNC/ACR/AHA/ASE/SCCT/SCMR/SNM 2009 Appropriate Use Criteria for Cardiac Radionuclide Imaging, J Am Coll Cardiol, 2009; 53:2201-29.
- Clinical pharmacology: Cardiotoxic drugs: clinical monitoring and decision making Audrey H Wu Heart 2008;94:1503-1509 doi:10.1136/hrt.2007.133876
- Kremer, LC, Caron, HN. Anthracycline cardiotoxicity in children. N Engl J Med 2004; 351:120.
- Alterations in left ventricular diastolic function with doxorubicin therapy. Lee BH; Goodenday LS; Muswick GJ; Yasnoff WA; Leighton RF; Skeel RT J Am Coll Cardiol 1987 Jan;9(1):184-8.