Posted: 04/29/2025

Tilt Table Testing Requirements HAP All lines of business

Tilt Table Testing Requirements

Required diagnosis

According to the American Heart Association and the National Institute of Health and Care Excellence, evaluation of cardiovascular function with tilt table testing (93660) should only be performed for suspected neurocardiogenic syncope. Therefore, tilt table testing will be denied when billed without a diagnosis of syncope and collapse (R55).

Electrocardiographic monitoring required

According to the American College of Cardiology and the American Heart Association, it is not appropriate to perform evaluation of cardiovascular function with tilt table testing (93660) for syncope and collapse (R55) if significant arrhythmia is not first ruled out by electrocardiographic monitoring (93000-93010, G0403-G0405, 0903T-0905T). Therefore, when tilt table testing is performed and electrocardiographic monitoring has not been obtained first, tilt table testing will be denied.

This applies to all HAP lines of business.