This test evaluates how well the heart functions under stress, usually by having the patient walk on a treadmill while their heart rate, blood pressure, and electrocardiogram (ECG) are monitored.
It is often used to diagnose coronary artery disease, evaluate exercise tolerance, or assess the effectiveness of cardiac treatments.
- Coverage: Medicaid generally covers diagnostic tests, including treadmill stress tests, when they are deemed medically necessary by a healthcare provider. This means the test should be justified based on the patient's symptoms, medical history, or risk factors.
- Authorization: In some cases, Medicaid might require prior authorization for certain tests or procedures. Your healthcare provider may need to submit a request or provide documentation showing that the test is necessary.
- Billing and Codes: Medical tests are typically billed using specific codes. For example, treadmill stress tests might be billed under codes like CPT 93015 (for a standard treadmill test). Check with your healthcare provider or Medicaid to ensure the correct coding and coverage details.