• Testing Pattern Deviation

    Question: According to CPT, there is a new code, 92242 FA with ICG, effective January 2017. Is it appropriate to perform an ICG today and have the patient return in two weeks for the FA?

    Answer: If both tests are typically performed on the same day and the reason for performing them on separate days is motivated by increase in payment, then best to continue with your current protocol. Payers will look for any billing pattern changes; this could result in an audit.