Article Detail - JF Part B
February is Heart Health Month
Heart disease and stroke remain the first and third causes of death in the U.S., and a major cause of disability and reduced quality of life. Found among people aged 65 or older, heart disease is largely preventable.
CMS covers screening benefits for Medicare beneficiaries with certain cardiovascular screening blood tests. Screenings may identify an increased risk of heart disease and stroke. Medicare provides coverage for screening blood tests aimed at early detection of cardiovascular disease or abnormalities associated with an elevated risk of heart disease and stroke.
Medicare Screening Benefits - deductible and co-insurance waived
- Cardiovascular Disease Screening Test
- CPT codes 80061, 82465, 83718, or 84478; ICD-10-CM code Z13.6
- Internet Only Manual (IOM) Publication 100-04, Chapter 18, Section 100
- National Coverage Determination (NCD) 190.23 – Lipid Testing
- Ultrasound screening for Abdominal Aortic Aneurysms (AAA)
- CPT code 76706
- Once in a beneficiary’s lifetime
- IOM Publication 100-04, Chapter 18, Section 110
- Smoking and tobacco-use cessation counseling for qualified beneficiaries
- CPT codes 99406, 99407
- IOM Publication 100-04, Chapter 18, Section 150
Cardiac Rehabilitation
Medicare Part B covers Cardiac Rehabilitation (CR) and Intensive Cardiac Rehabilitation (ICR) for beneficiaries who have experienced one or more of the following:
- Acute myocardial infarction within the preceding 12 months;
- Coronary artery bypass surgery;
- Current stable angina pectoris;
- Heart valve repair or replacement;
- Percutaneous transluminal coronary angioplasty (PTCA) or coronary stenting;
- Heart or heart-lung transplant;
- Stable, congested heart failure defined with left ventricular ejection fraction of 35% or less and New York Heart Association (NYHA) class II to IV symptoms following optimal heart failure therapy for at least 6 weeks; or,
- Other cardiac conditions as specified through an NCD.
Resources
Additional American Heart Month tools and resources are available on the Centers for Disease Control and Prevention (CDC) website: CDC American Heart Month 2024 Toolkits
