LCD/NCD Portal

NCD220.3

 

MAGNETIC RESONANCE ANGIOGRAPHY

 

Effective Date of this Version

7/1/2003

 

Benefit Category

• Diagnostic Services in Outpatient Hospital.

• Diagnostic Tests (other).

• Physicians' Services.

• Note: This may not be an exhaustive list of all applicable Medicare benefit categories for this item or service.

 

Item/Service Description

 

Indications and Limitations of Coverage

 

Cross Reference

• Also see NCDs for Magnetic Resonance Imaging (§220.2) and Magnetic Resonance Spectroscopy (§220.2.1).

• 220.3 – Magnetic Resonance Angiography (MRA)

• (replaced with section 220.2) (Rev. 123, Issued: 07-09-10, Effective: 06-03-10, Implementation: 08-09, 2010)

 

Claims Processing Instructions

• TN 1883 (Medicare Intermediary Manual)

• TN 1795 (Medicare Carriers Manual)

• TN 803 (Medicare Hospital Manual)

• TN 38 (Medicare Rural Health Clinics and Federally Qualified Health Centers Manual)

 

Coverage Transmittal Link

• http://www.cms.gov/transmittals/downloads/R123NCD.pdf

 

National Coverage Analyses (NCAs)

This NCD has been or is currently being reviewed under the National Coverage Determination process. The following are existing associations with NCAs, from the National Coverage Analyses database.

• First reconsideration for Magnetic Resonance Angiography (MRA) (CAG-00142R) opens in new window

• Original consideration for Magnetic Resonance Angiography of the Abdomen and Pelvis (CAG-00142N) opens in new window

 

Medicare NCD Link