Medicare National Coverage Determinations (NCD) Manual (Pub. 100-03), Ch. 1 § 20.27
Cardiointegram (CIG) as an Alternative to Stress Test or
20.27 - Cardiointegram (CIG) as an Alternative to Stress Test or
Thallium Stress Test
(Rev. 1, 10-03-03)
CIM 50-47
Not Covered
A cardiointegram device consists of a microcomputer which receives output from a
standard electrocardiogram (EKG) and transforms it to produce a graphic representation
of heart electrophysiologic signals. This procedure is used primarily as a substitute for
Exercise Tolerance Testing with Thallium Imaging in patients for whom a resting EKG
may be inadequate to identify changes compatible with coronary artery disease. Because
this device is still considered investigational pending additional data on its clinical
efficacy/sensitivity and value as a diagnostic tool, program payment may not be made for
its use at this time.