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Transthoracic Echocardiography in Adults - Cigna

Medical Coverage Policy Effective Date ..11/15/2021. Next Review Coverage Policy Number .. 0510. Transthoracic Echocardiography in Adults Table of Contents Related Coverage Resources Overview ..1 eviCore Adult Cardiac Imaging Guideline Coverage Policy ..1 Nonpharmacological Treatments for Atrial Fibrillation Nonvalvular heart disease ..1 Transthoracic Echocardiography in Children Valvular heart disease ..6. Congenital heart disease .. 15. Frequency of TTE .. 15. Myocardial strain imaging .. 15. General Background .. 16. Medicare Coverage Determinations .. 39. Coding/Billing 39. References .. 53. INSTRUCTIONS FOR USE. The following Coverage Policy applies to health benefit plans administered by Cigna Companies. Certain Cigna Companies and/or lines of business only provide utilization review services to clients and do not make coverage determinations. References to standard benefit plan language and coverage determinations do not apply to those clients.

Re-evaluation (<1 y) of the size and morphology of the aortic sinuses and ascending aorta in patients with a bicuspid aortic valve and an aortic diameter >4 cm with one of the following: Aortic dilatation >4.5 cm; Rapid rate of change in aortic

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