ASSAD HUSEIN MOUHAFFEL MD
NPI 1760591010
Internal Medicine - Cardiovascular Disease in West Monroe, LA

NPI Status: Active since August 30, 2006

Contact Information

102 THOMAS RD
SUITE 103
WEST MONROE, LA
ZIP 71291
Phone: (318) 387-1946
Fax: (318) 387-8781

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Secondary Locations
Medicare Participation & PECOS Status
Areas of Expertise
Durable Medical Equipment
Physician Visit Costs
Quality Reporting
Hospital Affiliations - Privileges
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Years of Experience 38
Internal Medicine
Cardiovascular Disease
Accepts Insurance
Accepts Medicare Approved Payment
PECOS Enrolled
Medicare Quality Reporting

About ASSAD MOUHAFFEL

This page provides the complete NPI Profile along with additional information for Assad Mouhaffel, an internist established in West Monroe, Louisiana with a medical specialization in Internal Medicine, focusing in cardiovascular disease and more than 38 years of experience. The healthcare provider is registered in the NPI registry with number 1760591010 assigned on August 2006. The practitioner's primary taxonomy code is 207RC0000X with license number 12175R (LA). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI: 1760591010
Provider Name: ASSAD HUSEIN MOUHAFFEL MD
Gender: Male
Entity Type: Individual
Location Address: 102 THOMAS RD SUITE 103 WEST MONROE, LA 71291
Location Phone: (318) 387-1946
Location Fax: (318) 387-8781
Mailing Address: 102 THOMAS RD SUITE 103 WEST MONROE, LA 71291
Mailing Phone: (318) 387-1946
Mailing Fax: (318) 387-8781
Medical School Name: OTHER
Graduation Year: 1988
Is Sole Proprietor?: Yes
Enumeration Date: 08-30-2006
Last Update Date: 02-22-2023
Code Navigator

An internist like Assad Mouhaffel is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

309 Jackson St
Monroe, LA 71201
(318) 966-4000

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Internal Medicine Cardiovascular Disease
Taxonomy Code: 207RC0000X
Type: Allopathic & Osteopathic Physicians
License No.: 12175R
License State: LA
Taxonomy Description: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Blue Cross and Blue Shield of Louisiana

Blue Max 70/50 $6700 - PPO
Blue Max 90/70 $1500 - PPO
Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
Blue Saver 60/40 $6100 - PPO
Blue Saver 90/70 $3200 - PPO

HMO Louisiana

Blue POS 60/40 $6500 - POS
Blue POS 70/50 $4550 - POS
Blue POS 80/60 $3200 - POS
Blue POS Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
Blue POS Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
Blue POS Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
Blue POS Copay (PCP, Specialist, Urgent Care) 80/60 $1000 - POS
Precision Blue 80/60 $3200 (BR) - POS
Precision Blue 80/60 $3200 (M) - POS
Precision Blue Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (BR) - POS

Primewell Health Services of Mississippi

Essential Bronze 6500 - POS
Essential Gold 1500 - POS
Freedom Silver 4000 - POS
Savings Bronze 7700 - POS
Standard Bronze 7500 - POS
Standard Gold 1500 - POS
Standard Silver 5000 - POS

UnitedHealthcare

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
UHC Bronze Standard (No Referrals) - EPO
UHC Bronze Value ($5 Tier 2 Rx, No Referrals) - EPO
UHC Bronze Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
UHC Gold Advantage ($5 Tier 2 Rx, No Referrals) - EPO
UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, No Referrals) - EPO
UHC Gold Standard (No Referrals) - EPO
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
1535877	MEDICAID (05)	LA

Medicare Participation & PECOS Enrollment Status

Assad Mouhaffel is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Assad Mouhaffel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
PECOS PAC ID: 7517860273
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20040129000897
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
2 DME suppliers used 11 Medicare Claims 22 Services Paid
DME-Other DME (DE001N)
Full face mask used with positive airway pressure device, each (HCPCS:A7030)
3 DME suppliers used 32 Medicare Claims 32 Services Paid
DME-Other DME (DE001N)
Face mask interface, replacement for full face mask, each (HCPCS:A7031)
3 DME suppliers used 31 Medicare Claims 79 Services Paid
DME-Other DME (DE001N)
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap (HCPCS:A7034)
5 DME suppliers used 21 Medicare Claims 21 Services Paid
DME-Other DME (DE001N)
Headgear used with positive airway pressure device (HCPCS:A7035)
5 DME suppliers used 32 Medicare Claims 32 Services Paid
DME-Other DME (DE001N)
Tubing used with positive airway pressure device (HCPCS:A7037)
4 DME suppliers used 50 Medicare Claims 50 Services Paid
DME-Other DME (DE001N)
Filter, disposable, used with positive airway pressure device (HCPCS:A7038)
5 DME suppliers used 52 Medicare Claims 303 Services Paid
DME-Other DME (DE001N)
Filter, non disposable, used with positive airway pressure device (HCPCS:A7039)
5 DME suppliers used 17 Medicare Claims 17 Services Paid
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
2 DME suppliers used 38 Medicare Claims 38 Services Paid
DME-Other DME (DE001N)
Continuous positive airway pressure (cpap) device (HCPCS:E0601)
6 DME suppliers used 53 Medicare Claims 56 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
4 DME suppliers used 63 Medicare Claims 63 Services Paid
DME-Other DME (DE013N)
Automatic external defibrillator, with integrated electrocardiogram analysis, garment type (HCPCS:K0606)
1 DME suppliers used 49 Medicare Claims 49 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance
Electrocardiogram (ecg) 1 to 3 leads with review by physician
Electrocardiogram (ecg) 2-day continuous with review and report by health care professional
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Evaluation of cardiac rhythm monitor system, remote up to 30 days
Evaluation of single, dual, multiple lead or leadless pacemaker system
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days
Evaluation of single, dual, or multiple lead implantable defibrillator system
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician
External shock to heart to regulate heart beat
Follow-up hospital inpatient care per day, typically 15 minutes
Follow-up hospital inpatient care per day, typically 25 minutes
Heart muscle strain imaging
Initial hospital inpatient care per day, typically 30 minutes
Initial hospital inpatient care per day, typically 50 minutes
Injection for imaging of aorta above heart valve with review by radiologist
Injection, aminophyllin, up to 250 mg
Injection, dipyridamole, per 10 mg
Insertion of heart rhythm monitor under skin
Insertion of implantable defibrillator system
Insertion of tube in coronary artery for diagnosis with review by radiologist
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist
Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec
Leg revascularization (restoring blood flow)
New patient office or other outpatient visit, 45-59 minutes
Nuclear medicine studies of heart muscle at rest and with stress and spect
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
Pacemaker insertion or repair
Removal and replacement of dual lead permanent pacemaker
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
Technetium tc-99m sestamibi, diagnostic, per study dose
Test to measure expiratory airflow and volume
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
Ultrasound of leg arteries at rest and after exercise
Ultrasound study of arm or leg veins with compression and maneuvers
Varicose vein removal

Physician Visit Costs

The typical physician office visit costs for Medicare beneficiaries in this area are: $31.15 for a new patient copayment and $16.76 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 71291 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

Average New Patient Price $124.6
Minimum New Patient Price $53.43
Maximum New Patient Price $164.73

Average New Patient Copayment $31.15
Minimum New Patient Copayment $13.35
Maximum New Patient Copayment $41.18

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $67.06
Minimum Established Patient Price $16.64
Maximum Established Patient Price $133.62

Average Established Patient Copayment $16.76
Minimum Established Patient Copayment $4.16
Maximum Established Patient Copayment $33.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure	Performance	Number of Patients
Coronary Artery Disease (CAD): Antiplatelet Therapy	94%	1081
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel
Documentation of Current Medications in the Medical Record	100%	4291
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
Engagement of patients through implementation of improvements in patient portal	Yes	N/A
Access to an enhanced patient portal that provides up to date information related to relevant chronic disease health or blood pressure control, and includes interactive features allowing patients to enter health information and/or enables bidirectional communication about medication changes and adherence.
e-Prescribing	76%	1963
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Improved Practices that Disseminate Appropriate Self-Management Materials	Yes	N/A
Provide self-management materials at an appropriate literacy level and in an appropriate language.
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet	92%	967
Percentage of patients 18 years of age and older who were diagnosed with acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) in the 12 months prior to the measurement period, or who had an active diagnosis of ischemic vascular disease (IVD) during the measurement period, and who had documentation of use of aspirin or another antiplatelet during the measurement period
Medication Reconciliation	100%	79
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education	27%	891
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	15%	2493
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	30%	117
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	57%	1313
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
Provide Patient Access	91%	891
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Security Risk Analysis	Yes	N/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Tobacco use	Yes	N/A
Tobacco use: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including tobacco use screening and cessation interventions (refer to NQF #0028) for patients with co-occurring conditions of behavioral or mental health and at risk factors for tobacco dependence.
Unhealthy alcohol use	Yes	N/A
Unhealthy alcohol use: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including screening and brief counseling (refer to NQF #2152) for patients with co-occurring conditions of behavioral or mental health conditions.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Assad Mouhaffel is affiliated with the following medical facilities:

Hospital Name	Address	Phone	Hospital Type
ST FRANCIS MEDICAL CENTER	309 JACKSON STREET MONROE, LA 71201	(318) 966-4000	Acute Care Hospitals
GLENWOOD REGIONAL MEDICAL CENTER	503 MCMILLAN ROAD WEST MONROE, LA 71291	(318) 329-4600	Acute Care Hospitals
EAST CARROLL PARISH HOSPITAL	336 NORTH HOOD STREET LAKE PROVIDENCE, LA 71254	(318) 559-4023	Acute Care Hospitals
RICHLAND PARISH HOSPITAL-DELHI	407 CINCINNATI STREET DELHI, LA 71232	(318) 878-5171	Critical Access Hospitals
WEST CARROLL MEMORIAL HOSPITAL	706 ROSS STREET OAK GROVE, LA 71263	(318) 428-3237	Critical Access Hospitals

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	6	0	5	9	1	0	1	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	12	0	10	9	2	0	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 0 + 9 + 2 + 0 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1760591010 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

DR. TRUDY H SANSON M.D.

Internal Medicine

(Endocrinology, Diabetes & Metabolism)

102 THOMAS RD
SUITE 206
WEST MONROE, LA
ZIP 71291

About ASSAD MOUHAFFEL

Location Map

Secondary Locations

Specialty - Primary Taxonomy

Internal Medicine Cardiovascular Disease

Insurance Plans Accepted

Additional Identifiers

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

PECOS PAC ID: 7517860273

PECOS Enrollment ID: I20040129000897

Accepts Medicare Assignment? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): Yes

Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

Durable Medical Equipment

Areas of Expertise

Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance

Electrocardiogram (ecg) 1 to 3 leads with review by physician

Electrocardiogram (ecg) 2-day continuous with review and report by health care professional

Established patient office or other outpatient visit, 20-29 minutes

Established patient office or other outpatient visit, 30-39 minutes

Evaluation of cardiac rhythm monitor system, remote up to 30 days

Evaluation of single, dual, multiple lead or leadless pacemaker system

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days

Evaluation of single, dual, or multiple lead implantable defibrillator system

Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician

External shock to heart to regulate heart beat

Follow-up hospital inpatient care per day, typically 15 minutes

Follow-up hospital inpatient care per day, typically 25 minutes

Heart muscle strain imaging

Initial hospital inpatient care per day, typically 30 minutes

Initial hospital inpatient care per day, typically 50 minutes

Injection for imaging of aorta above heart valve with review by radiologist

Injection, aminophyllin, up to 250 mg

Injection, dipyridamole, per 10 mg

Insertion of heart rhythm monitor under skin

Insertion of implantable defibrillator system

Insertion of tube in coronary artery for diagnosis with review by radiologist

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist

Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist

Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec

Leg revascularization (restoring blood flow)

New patient office or other outpatient visit, 45-59 minutes

Nuclear medicine studies of heart muscle at rest and with stress and spect

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional

Pacemaker insertion or repair

Removal and replacement of dual lead permanent pacemaker

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only

Technetium tc-99m sestamibi, diagnostic, per study dose

Test to measure expiratory airflow and volume

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

Ultrasound of leg arteries at rest and after exercise

Ultrasound study of arm or leg veins with compression and maneuvers

Varicose vein removal