Medicare National Coverage Determinations (NCD) Manual (Pub. 100-03), Ch. 1 § 20.24
Displacement Cardiography
20.24 - Displacement Cardiography
(Rev. 1, 10-03-03)
CIM 50-50
Displacement cardiography, including cardiokymography and photokymography, is a
noninvasive diagnostic test used in evaluating coronary artery disease.
A. Cardiokymography
Cardiokymography is covered for services rendered on or after October 12, 1988.
Cardiokymography is a covered service only when it is used as an adjunct to
electrocardiographic stress testing in evaluating coronary artery disease and only when
the following clinical indications are present:
• For male patients, atypical angina pectoris or nonischemic chest pain; or
• For female patients, angina, either typical or atypical.
B. Photokymography - Not Covered
Photokymography remains excluded from coverage.