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Coding

CPT Codes

The CPT code for MTWA testing is 93025. Coverage policies and payment amounts vary according to geographic location.

CodeDescription
93025 MTWA (Global)
93025-TC MTWA Technical Component
93025-26 MTWA Professional Component

CCI Edits

In July 2010, the National Correct Coding Initiative (NCCI) changed the edits associated with MTWA testing, allowing MTWA to be performed on the same day as several stress procedures.

The change allows MTWA testing (CPT code 93025) to be performed on the same day as stress testing (CPT codes 93015, 93016, 93017), pulmonary stress (CPT codes 94620, 94621), and echocardiography stress (CPT codes 93351, C8930) with full reimbursement for all procedures.

ICD-9-CM Diagnosis Codes

Common ICD-9-CM Diagnosis codes typically associated with risk of sudden cardiac death that support MTWA testing include:

410 Series Acute Myocardial Infarction
411 Series Other acute and subacute forms of ischemic heart disease
412 Old Myocardial Infarction
425 Series Cardiomyopathies
426 Series Conduction Disorders
427 Series Cardiac Dysrhythmias
428 Series Heart Failure
780.2 Syncope and collapse

Please refer to your local carrier for verification of appropriate diagnosis codes.