Indications for Stress Testing - Diagnostic Codes -
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1 Indications for Stress Testing - Diagnostic Codes - These are the only covered ICD-9-CM codes that support medical necessity for stress testing: DIABETES WITH PERIPHERAL CIRCULATORY DISORDERS, TYPE II OR TYPE, NOT STATED AS UNCONTROLLED DIABETES WITH PERIPHERAL CIRCULATORY DISORDERS, TYPE I [JUVENILE TYPE], NOT STATED AS UNCONTROLLED DIABETES WITH PERIPHERAL CIRCULATORY DISORDERS, TYPE II OR TYPE, UNCONTROLLED DIABETES WITH PERIPHERAL CIRCULATORY DISORDERS, TYPE I [JUVENILE TYPE], UNCONTROLLED REFERRED OTOGENIC PAIN MITRAL STENOSIS RHEUMATIC MITRAL INSUFFICIENCY MITRAL STENOSIS WITH INSUFFICIENCY OTHER AND MITRAL VALVE DISEASES RHEUMATIC AORTIC STENOSIS RHEUMATIC AORTIC INSUFFICIENCY RHEUMATIC AORTIC STENOSIS WITH INSUFFICIENCY OTHER AND RHEUMATIC AORTIC DISEASES MITRAL VALVE STENOSIS AND AORTIC VALVE STENOSIS MITRAL VALVE STENOSIS AND AORTIC VALVE INSUFFICIENCY MITRAL VALVE INSUFFICIENCY AND AORTIC VALVE STENOSIS MITRAL VALVE INSUFFICIENCY AND AORTIC VALVE INSUFFICIENCY MULTIPLE INVOLVEMENT OF MITRAL AND AORTIC VALVES MITRAL AND AORTIC VALVE DISEASES
2 397.0 DISEASES OF TRICUSPID VALVE RHEUMATIC DISEASES OF PULMONARY VALVE RHEUMATIC DISEASES OF ENDOCARDIUM VALVE RHEUMATIC MYOCARDITIS RHEUMATIC HEART (CONGESTIVE) MALIGNANT HYPERTENSIVE HEART DISEASE WITHOUT HEART MALIGNANT HYPERTENSIVE HEART DISEASE WITH HEART BENIGN HYPERTENSIVE HEART DISEASE WITHOUT HEART BENIGN HYPERTENSIVE HEART DISEASE WITH HEART HYPERTENSIVE HEART DISEASE WITHOUT HEART HYPERTENSIVE HEART DISEASE WITH HEART HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE, MALIGNANT, WITHOUT HEART AND WITH CHRONIC KIDNEY DISEASE STAGE I THROUGH STAGE IV, OR HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE, MALIGNANT, WITH HEART AND WITH CHRONIC KIDNEY DISEASE STAGE I THROUGH STAGE IV, OR HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE, MALIGNANT, WITHOUT HEART AND WITH CHRONIC KIDNEY DISEASE STAGE V OR END STAGE RENAL DISEASE HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE, MALIGNANT, WITH HEART AND WITH CHRONIC KIDNEY DISEASE STAGE V OR END STAGE RENAL DISEASE HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE, BENIGN, WITHOUT HEART AND WITH CHRONIC KIDNEY DISEASE STAGE I THROUGH STAGE IV, OR
3 HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE, BENIGN, WITH HEART AND WITH CHRONIC KIDNEY DISEASE STAGE I THROUGH STAGE IV, OR HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE, BENIGN, WITHOUT HEART AND WITH CHRONIC KIDNEY DISEASE STAGE V OR END STAGE RENAL DISEASE HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE, BENIGN, WITH HEART AND CHRONIC KIDNEY DISEASE STAGE V OR END STAGE RENAL DISEASE HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE,, WITHOUT HEART AND WITH CHRONIC KIDNEY DISEASE STAGE I THROUGH STAGE IV, OR HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE,, WITH HEART AND WITH CHRONIC KIDNEY DISEASE STAGE I THROUGH STAGE IV, OR HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE,, WITHOUT HEART AND WITH CHRONIC KIDNEY DISEASE STAGE V OR END STAGE RENAL DISEASE HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE,, WITH HEART AND CHRONIC KIDNEY DISEASE STAGE V OR END STAGE RENAL DISEASE ACUTE MYOCARDIAL INFARCTION OF ANTEROLATERAL WALL EPISODE OF CARE ACUTE MYOCARDIAL INFARCTION OF ANTEROLATERAL WALL INITIAL EPISODE OF CARE ACUTE MYOCARDIAL INFARCTION OF ANTEROLATERAL WALL SUBSEQUENT EPISODE OF CARE ACUTE MYOCARDIAL INFARCTION OF OTHER ANTERIOR WALL EPISODE OF CARE ACUTE MYOCARDIAL INFARCTION OF OTHER ANTERIOR WALL INITIAL EPISODE OF CARE ACUTE MYOCARDIAL INFARCTION OF OTHER ANTERIOR WALL SUBSEQUENT EPISODE OF CARE ACUTE MYOCARDIAL INFARCTION OF INFEROLATERAL WALL
4 EPISODE OF CARE ACUTE MYOCARDIAL INFARCTION OF INFEROLATERAL WALL INITIAL EPISODE OF CARE ACUTE MYOCARDIAL INFARCTION OF INFEROLATERAL WALL SUBSEQUENT EPISODE OF CARE ACUTE MYOCARDIAL INFARCTION OF INFEROPOSTERIOR WALL EPISODE OF CARE ACUTE MYOCARDIAL INFARCTION OF INFEROPOSTERIOR WALL INITIAL EPISODE OF CARE ACUTE MYOCARDIAL INFARCTION OF INFEROPOSTERIOR WALL SUBSEQUENT EPISODE OF CARE ACUTE MYOCARDIAL INFARCTION OF OTHER INFERIOR WALL EPISODE OF CARE ACUTE MYOCARDIAL INFARCTION OF OTHER INFERIOR WALL INITIAL EPISODE OF CARE ACUTE MYOCARDIAL INFARCTION OF OTHER INFERIOR WALL SUBSEQUENT EPISODE OF CARE ACUTE MYOCARDIAL INFARCTION OF OTHER LATERAL WALL EPISODE OF CARE ACUTE MYOCARDIAL INFARCTION OF OTHER LATERAL WALL INITIAL EPISODE OF CARE ACUTE MYOCARDIAL INFARCTION OF OTHER LATERAL WALL SUBSEQUENT EPISODE OF CARE TRUE POSTERIOR WALL INFARCTION EPISODE OF CARE TRUE POSTERIOR WALL INFARCTION INITIAL EPISODE OF CARE TRUE POSTERIOR WALL INFARCTION SUBSEQUENT EPISODE OF CARE SUBENDOCARDIAL INFARCTION EPISODE OF CARE SUBENDOCARDIAL INFARCTION INITIAL EPISODE OF CARE SUBENDOCARDIAL INFARCTION SUBSEQUENT EPISODE OF CARE
5 ACUTE MYOCARDIAL INFARCTION OF OTHER SPECIFIED SITES EPISODE OF CARE ACUTE MYOCARDIAL INFARCTION OF OTHER SPECIFIED SITES INITIAL EPISODE OF CARE ACUTE MYOCARDIAL INFARCTION OF OTHER SPECIFIED SITES SUBSEQUENT EPISODE OF CARE ACUTE MYOCARDIAL INFARCTION OF SITE EPISODE OF CARE ACUTE MYOCARDIAL INFARCTION OF SITE INITIAL EPISODE OF CARE ACUTE MYOCARDIAL INFARCTION OF SITE SUBSEQUENT EPISODE OF CARE POSTMYOCARDIAL INFARCTION SYNDROME INTERMEDIATE CORONARY SYNDROME ACUTE CORONARY OCCLUSION WITHOUT MYOCARDIAL INFARCTION OTHER ACUTE AND SUBACUTE FORMS OF ISCHEMIC HEART DISEASE OTHER 412 OLD MYOCARDIAL INFARCTION ANGINA DECUBITUS PRINZMETAL ANGINA OTHER AND ANGINA PECTORIS CORONARY ATHEROSCLEROSIS OF TYPE OF VESSEL NATIVE OR GRAFT CORONARY ATHEROSCLEROSIS OF NATIVE CORONARY ARTERY CORONARY ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT CORONARY ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT CORONARY ATHEROSCLEROSIS OF ARTERY BYPASS GRAFT CORONARY ATHEROSCLEROSIS OF BYPASS GRAFT
6 CORONARY ATHEROSCLEROSIS OF NATIVE CORONARY ARTERY OF TRANSPLANTED HEART CORONARY ATHEROSCLEROSIS OF BYPASS GRAFT (ARTERY) (VEIN) OF TRANSPLANTED HEART ANEURYSM OF HEART (WALL) ANEURYSM OF CORONARY VESSELS DISSECTION OF CORONARY ARTERY OTHER ANEURYSM OF HEART 414.2* CHRONIC TOTAL OCCLUSION OF CORONARY ARTERY OTHER SPECIFIED FORMS OF CHRONIC ISCHEMIC HEART DISEASE CHRONIC ISCHEMIC HEART DISEASE PRIMARY PULMONARY HYPERTENSION KYPHOSCOLIOTIC HEART DISEASE OTHER CHRONIC PULMONARY HEART DISEASES CHRONIC PULMONARY HEART DISEASE MITRAL VALVE DISORDERS AORTIC VALVE DISORDERS TRICUSPID VALVE DISORDERS SPECIFIED AS NONRHEUMATIC PULMONARY VALVE DISORDERS ENDOCARDITIS VALVE CAUSE ENDOCARDITIS IN DISEASES CLASSIFIED ELSEWHERE OTHER ENDOCARDITIS VALVE ENDOMYOCARDIAL FIBROSIS HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY OBSCURE CARDIOMYOPATHY OF AFRICA ENDOCARDIAL FIBROELASTOSIS OTHER PRIMARY CARDIOMYOPATHIES ALCOHOLIC CARDIOMYOPATHY
7 425.7 NUTRITIONAL AND METABOLIC CARDIOMYOPATHY CARDIOMYOPATHY IN OTHER DISEASES CLASSIFIED ELSEWHERE SECONDARY CARDIOMYOPATHY ATRIOVENTRICULAR BLOCK COMPLETE ATRIOVENTRICULAR BLOCK FIRST DEGREE ATRIOVENTRICULAR BLOCK MOBITZ (TYPE) II ATRIOVENTRICULAR BLOCK OTHER SECOND DEGREE ATRIOVENTRICULAR BLOCK LEFT BUNDLE BRANCH HEMIBLOCK OTHER LEFT BUNDLE BRANCH BLOCK BUNDLE BRANCH BLOCK RIGHT BUNDLE BRANCH BLOCK AND LEFT POSTERIOR FASCICULAR BLOCK RIGHT BUNDLE BRANCH BLOCK AND LEFT ANTERIOR FASCICULAR BLOCK OTHER BILATERAL BUNDLE BRANCH BLOCK TRIFASCICULAR BLOCK PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA PAROXYSMAL VENTRICULAR TACHYCARDIA PAROXYSMAL TACHYCARDIA ATRIAL FIBRILLATION ATRIAL FLUTTER VENTRICULAR FIBRILLATION VENTRICULAR FLUTTER PREMATURE BEATS SUPRAVENTRICULAR PREMATURE BEATS OTHER PREMATURE BEATS SINOATRIAL NODE DYSFUNCTION OTHER SPECIFIED CARDIAC DYSRHYTHMIAS
8 428.0 CONGESTIVE HEART LEFT HEART SYSTOLIC HEART ACUTE SYSTOLIC HEART CHRONIC SYSTOLIC HEART ACUTE ON CHRONIC SYSTOLIC HEART DIASTOLIC HEART ACUTE DIASTOLIC HEART CHRONIC DIASTOLIC HEART ACUTE ON CHRONIC DIASTOLIC HEART COMBINED SYSTOLIC AND DIASTOLIC HEART ACUTE COMBINED SYSTOLIC AND DIASTOLIC HEART CHRONIC COMBINED SYSTOLIC AND DIASTOLIC HEART ACUTE ON CHRONIC COMBINED SYSTOLIC AND DIASTOLIC HEART HEART MYOCARDITIS MYOCARDIAL DEGENERATION CARDIOVASCULAR DISEASE CARDIOMEGALY FUNCTIONAL DISTURBANCES FOLLOWING CARDIAC SURGERY RUPTURE OF CHORDAE TENDINEAE RUPTURE OF PAPILLARY MUSCLE CERTAIN SEQUELAE OF MYOCARDIAL INFARCTION NOT ELSEWHERE CLASSIFIED ACQUIRED CARDIAC SEPTAL DEFECT CERTAIN SEQUELAE OF MYOCARDIAL INFARCTION NOT ELSEWHERE CLASSIFIED OTHER
9 OTHER DISORDERS OF PAPILLARY MUSCLE HYPERKINETIC HEART DISEASE TAKOTSUBO SYNDROME OTHER ILL-DEFINED HEART DISEASES OCCLUSION AND STENOSIS OF CAROTID ARTERY WITHOUT CEREBRAL INFARCTION OCCLUSION AND STENOSIS OF CAROTID ARTERY WITH CEREBRAL INFARCTION ATHEROSCLEROSIS OF AORTA ATHEROSCLEROSIS OF NATIVE ARTERIES OF THE EXTREMITIES ATHEROSCLEROSIS OF NATIVE ARTERIES OF THE EXTREMITIES WITH INTERMITTENT CLAUDICATION ATHEROSCLEROSIS OF NATIVE ARTERIES OF THE EXTREMITIES WITH REST PAIN ATHEROSCLEROSIS OF NATIVE ARTERIES OF THE EXTREMITIES WITH ULCERATION ATHEROSCLEROSIS OF NATIVE ARTERIES OF THE EXTREMITIES WITH GANGRENE 440.4* CHRONIC TOTAL OCCLUSION OF ARTERY OF THE EXTREMITIES GENERALIZED AND ATHEROSCLEROSIS DISSECTION OF AORTA ANEURYSM SITE DISSECTION OF AORTA THORACIC DISSECTION OF AORTA ABDOMINAL DISSECTION OF AORTA THORACOABDOMINAL THORACIC ANEURYSM WITHOUT RUPTURE ABDOMINAL ANEURYSM WITHOUT RUPTURE THORACOABDOMINAL ANEURYSM WITHOUT RUPTURE AORTIC ANEURYSM OF SITE WITHOUT RUPTURE ANEURYSM OF ARTERY OF UPPER EXTREMITY
10 442.1 ANEURYSM OF RENAL ARTERY ANEURYSM OF ILIAC ARTERY ANEURYSM OF ARTERY OF LOWER EXTREMITY ANEURYSM OF ARTERY OF NECK ANEURYSM OF SUBCLAVIAN ARTERY ANEURYSM OF SPLENIC ARTERY ANEURYSM OF OTHER VISCERAL ARTERY ANEURYSM OF OTHER SPECIFIED SITE OTHER ANEURYSM OF SITE RAYNAUD'S SYNDROME THROMBOANGIITIS OBLITERANS (BUERGER'S DISEASE) DISSECTION OF CAROTID ARTERY DISSECTION OF ILIAC ARTERY DISSECTION OF RENAL ARTERY DISSECTION OF VERTEBRAL ARTERY DISSECTION OF OTHER ARTERY PERIPHERAL ANGIOPATHY IN DISEASES CLASSIFIED ELSEWHERE OTHER PERIPHERAL VASCULAR DISEASE PERIPHERAL VASCULAR DISEASE POLYARTERITIS NODOSA PAIN IN JOINT INVOLVING SHOULDER REGION PAIN IN JOINT INVOLVING UPPER ARM PAIN IN JOINT INVOLVING FOREARM CERVICALGIA BACKACHE PAIN IN LIMB COMMON TRUNCUS COMPLETE TRANSPOSITION OF GREAT VESSELS
11 DOUBLE OUTLET RIGHT VENTRICLE CORRECTED TRANSPOSITION OF GREAT VESSELS OTHER TRANSPOSITION OF GREAT VESSELS TETRALOGY OF FALLOT COMMON VENTRICLE VENTRICULAR SEPTAL DEFECT OSTIUM SECUNDUM TYPE ATRIAL SEPTAL DEFECT ENDOCARDIAL CUSHION DEFECT TYPE OSTIUM PRIMUM DEFECT OTHER BULBUS CORDIS ANOMALIES AND ANOMALIES OF CARDIAC SEPTAL CLOSURE STENOSIS OF PULMONARY VALVE CONGENITAL TRICUSPID ATRESIA AND STENOSIS CONGENITAL EBSTEIN'S ANOMALY CONGENITAL STENOSIS OF AORTIC VALVE CONGENITAL INSUFFICIENCY OF AORTIC VALVE CONGENITAL MITRAL STENOSIS CONGENITAL MITRAL INSUFFICIENCY SUBAORTIC STENOSIS CONGENITAL INFUNDIBULAR PULMONIC STENOSIS CONGENITAL CORONARY ARTERY ANOMALY CONGENITAL CONGENITAL HEART BLOCK SYNCOPE AND COLLAPSE TACHYCARDIA PALPITATIONS UNDIAGNOSED CARDIAC MURMURS SHOCK CARDIOGENIC SHOCK ORTHOPNEA
12 APNEA SHORTNESS OF BREATH RESPIRATORY ABNORMALITY OTHER CHEST PAIN PRECORDIAL PAIN OTHER CHEST PAIN ABDOMINAL PAIN RIGHT UPPER QUADRANT ABDOMINAL PAIN LEFT UPPER QUADRANT ABDOMINAL PAIN EPIGASTRIC ABDOMINAL PAIN OTHER SPECIFIED SITE ABNORMAL FUNCTION STUDY OF CARDIOVASCULAR SYSTEM NONSPECIFIC ABNORMAL ELECTROCARDIOGRAM (ECG) (EKG) OTHER NONSPECIFIC ABNORMAL FUNCTION STUDY OF CARDIOVASCULAR SYSTEM ADVERSE EFFECT OF DRUG, MEDICINAL AND BIOLOGICAL SUBSTANCE ARTHUS PHENOMENON OTHER DRUG ALLERGY MECHANICAL COMPLICATION DUE TO HEART VALVE PROSTHESIS MECHANICAL COMPLICATION DUE TO CORONARY BYPASS GRAFT MECHANICAL COMPLICATION OF OTHER VASCULAR DEVICE IMPLANT AND GRAFT INFECTION AND INFLAMMATORY REACTION DUE TO CARDIAC DEVICE IMPLANT AND GRAFT OTHER COMPLICATIONS DUE TO HEART VALVE PROSTHESIS OTHER COMPLICATIONS DUE TO OTHER CARDIAC DEVICE IMPLANT AND GRAFT COMPLICATIONS OF TRANSPLANTED HEART
13 V15.1 PERSONAL HISTORY OF SURGERY TO HEART AND GREAT VESSELS PRESENTING HAZARDS TO HEALTH V42.1 HEART REPLACED BY TRANSPLANT V42.2 HEART VALVE REPLACED BY TRANSPLANT V42.6 LUNG REPLACED BY TRANSPLANT V43.21 HEART REPLACED BY HEART ASSIST DEVICE V43.22 HEART REPLACED BY FULLY IMPLANTABLE ARTIFICIAL HEART V43.3 HEART VALVE REPLACED BY OTHER MEANS V45.81 POSTSURGICAL AORTOCORONARY BYPASS STATUS V45.82 PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY STATUS V47.2 OTHER CARDIORESPIRATORY PROBLEMS V58.64 LONG-TERM (CURRENT) USE OF NONSTEROIDAL ANTI- INFLAMMATORIES V58.69 LONG-TERM (CURRENT) USE OF OTHER MEDICATIONS V67.09* FOLLOW-UP EXAMINATION FOLLOWING OTHER SURGERY V67.2 FOLLOW-UP EXAMINATION FOLLOWING CHEMOTHERAPY V67.51 FOLLOW-UP EXAMINATION FOLLOWING COMPLETED TREATMENT WITH HIGH-RISK MEDICATION NOT ELSEWHERE CLASSIFIED
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