Appointments

If you would like to find out if your insurance covers the heart scan, you need to send us an order from your doctor along with prior authorization from your insurance provider. Your provider must obtain the prior authorization from your insurance provider and forward it to us. The CPT code for the CT heart scan is 75571. Front Range Preventive Imaging cannot do this for you. 

Our center is committed to provide the best available proven methods to detect life’s most important illnesses early. Many of our patients self-purchase our procedures without insurance involvement, just as they would spend money on yearly preventive assessment for their automobiles. Many individuals will seek insurance coverage for our procedures -in some cases they are covered.

We recognize however that many managed care organizations do not share our interests in prevention and are largely paying only for symptomatic diseases. Frankly, paying for a heart scan is not often financially attractive to an insurance company or HMO unless you have risk factors and your doctor is attempting to make a decision about lifelong medications anyway. Nationwide, after getting a heart scan, thousands of citizens will be encouraged to be on medications (which should be covered) to prevent heart attacks, etc that may not occur for many years -typically after one has changed insurance policies.

If you have risk factors for heart disease, ask your doctor to ask your managed care company for “individual consideration” for coverage in order for him/her to make a precise determination of your need for therapy.

The heart scan is an extensively proven procedure available at leading heart centers worldwide. There are many book chapters and articles published proving its accuracy and value. We believe insurance companies should never mischaracterize a procedure to defend its policies of non-coverage. Such statements will surely result in forfeiting the only opportunity for thousands to know they are at high risk and need treatment.

The CPT code (procedure code) for CT scan of the heart for coronary calcification imaging is 75571 (Calcium Scoring). It is always helpful to contact your carrier to find out under which circumstances the CT heart scan is covered, if at all. If our center has a clear contract with your company (and you meet their guidelines), we will bill the company for the test. Otherwise, we expect payment at time of service. A Health Insurance Claim Form will not be provided.

Remember, our center shares a goal with our patients to prevent heart attacks which may occur many years after the 2-3 year average period of time a person stays with an HMO. More enlightened managed care companies develop guidelines so that coverage is determined based upon risk factors, symptoms or in concert with the plans of a referring physician.