Arlington, VA (May 12, 2020) — Effective April 1, 2020, United Healthcare updated its policy coverage to include reimbursement for coronary computed tomography angiography (CTA) as a first-line test for patients with stable chest pain and low to intermediate risk of coronary artery disease (CAD).
“The favorable policy update shows that United Healthcare recognizes the accumulating evidence demonstrating coronary CTA’s ability to accurately diagnose both non-obstructive and obstructive CAD, as well as lead to improved patient outcomes” said Ron Blankstein MD, MSCCT, president of SCCT.
United Healthcare’s policy update will make it easier for providers to offer a coronary CTA for qualifying patients. Providers wishing to pursue testing will be offered coronary CTA without the need for prior authorization. If the provider accepts the suggestion, they will receive automatic approval and an authorization number for the coronary CTA.
Per the updated policy, “United will reimburse for Coronary CT Angiograms when ordered to evaluate stable chest pain in members with low and intermediate risk for coronary artery disease (CAD) as first-line testing. Computed tomographic angiography (CTA) is expected to replace the need for other functional stress testing in this population.”
The update adds: "The following tests are considered functional stress tests: