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Follow Up Procedure Guidelines - cardiology

SERIAL NUMBER Procedure 1st Qtr Per Qtr (for next 3 Qtrs) Requirements while submitting for follow-up Preauth Requirements while submitting for follow-up Claims
77 FP0077 : Infective Endocarditis 4,000 2,000 Previous Discharge Summary (Clinical Evaluation, Blood Culture,CT, ECHO-Mandatory)
82 FP0082 : Congenital heart disease with congestive cardiac failure 2,000 1,000 Previous Discharge Summary (Clinical Evaluation, ECG, ECHO-Mandatory)
83 FP0083 : Acquired heart disease with congestive cardiac failure 2,000 1,000 Previous Discharge Summary (Clinical Evaluation, ECG, ECHO-Mandatory), Cardiac Enzymes
87 FP0087 : Acute Myocardial infarction 4,000 2,000 Previous Discharge Summary (Clinical Evaluation, ECG, ECHO, Lipid Profile-Mandatory)
88 FP0088 : Infective Endocarditis 4,000 2,000 Previous Discharge Summary (Clinical Evaluation, ECG,ECHO, Fungal Blood Culture-Mandatory)
89 FP0089 : Complex Arrythmias 4,000 2,000 Previous Discharge Summary (Clinical Evaluation,ECHO-Mandatory),Holter ECG Monitoring