How to Report a Coronary CT Angiography Michael Poon, MD, FACC

Documentation Requirements(CMS)• Each claim must be submitted with ICD­9­CM codesthat reflect the condition of the patient, and indicate thereason(s) for which the service was performed. Claimssubmitted without ICD­9­CM codes will be returned.• The documentation of the study requires a formalwritten report, with clear identifying demographics, thename of the interpreting provider, the reason for thetests, an interpretive report and copies of images. Thecomputerized data with image reconstruction shouldalso be maintained.• Documentation must be available to Medicare uponrequest