Indications
Myoview gated SPECT imaging produces high-quality, images for:1
- Detection of myocardial ischemia
- Delineation of heart regions of reversible myocardial ischemia with or without infarcted myocardium - Evaluation of patients with known or suspected coronary artery disease
- Identification of changes in perfusion induced by pharmacologic stress and/or under resting conditions - Evaluation of heart disease through assessment of left ventricular function
- Measurement of left ventricular ejection fraction (LVEF) and wall motion
Indication: Myoview 30 mL is a myocardial perfusion imaging (MPI) agent indicated for MPI under rest and/or exercise or pharmacologic stress conditions to delineate regions of reversible myocardial ischemia or infarcted myocardium in patients with known or suspected coronary artery disease. Myoview is also indicated for the assessment of left ventricular function (left ventricular ejection fraction and wall motion) in patients with known or suspected heart disease.
Reimbursement
See Important Safety Information about Myoview at the bottom of this page.
Please also read the Full Prescribing Information.
GE Healthcare Medical Diagnostics Reimbursement
GE Healthcare advocates for timely patient access to medically appropriate, high quality cardiac imaging services, provided by knowledgeable and skilled providers. We recognize the significant impact that reimbursement policies can have on you and your practice and strive to provide accurate and reliable information to help you navigate the reimbursement process.
Reimbursement Information for Radiopharmaceuticals: Medicare Coding and Payment for Radiopharmaceuticals Used in Nuclear Imaging Procedures
Coding and Payment Information
Under HOPPS, Medicare will continue "packaging" for diagnostic radiopharmaceuticals into the payment for the associated procedure.
Diagnostic radiopharmaceuticals are separately payable in physician offices and freestanding imaging centers. Payment is based on 95% of the average wholesale price (AWP) or established by local Medicare contractors (carrier priced).
Physicians performing cardiac imaging procedures using diagnostic radiopharmaceuticals should report the appropriate HCPCS code for the product along with the appropriate CPT® code(s) for the procedure(s). Physicians should make sure the number of units reported is consistent with the quantity of a radiopharmaceutical given to complete the study.
Professional Resources and Disclosures
See Important Safety Information about Myoview at the bottom of this page.
Please also read the Full Prescribing Information.
Please see the following for more information:
Important Safety Information
PRODUCT INDICATIONS: Myoview 30 mL (Kit for the Preparation of Technetium Tc-99m Tetrofosmin for Injection) is indicated for myocardial perfusion imaging under rest and/or exercise or pharmacologic stress conditions to delineate regions of reversible myocardial ischemia or infarcted myocardium in patients with known or suspected coronary artery disease. Myoview is also indicated for the assessment of left ventricular function (left ventricular ejection fraction and wall motion) in patients with known or suspected heart disease.
Important Risk and Safety Information About MyoviewTM (Kit for the Preparation of Technetium Tc-99m Tetrofosmin for Injection)
CONTRAINDICATIONS: None known. WARNINGS and PRECAUTIONS — Risks Associated With Exercise or Pharmacologic Stress: Patients evaluated with exercise or pharmacologic stress may experience serious adverse reactions such as myocardial infarction, arrhythmia, hypotension, and bronchoconstriction, as well as cerebrovascular reactions such as headache, paraesthesias, convulsions, somnolence and cerebrovascular accident, including hemorrhage. Perform stress testing in a setting where cardiac resuscitation equipment and trained staff are readily available. When pharmacologic stress is selected as an alternative to exercise, perform the procedure in accordance with the pharmacologic stress agent's prescribing information. Radiation Risks: Technetium Tc-99m contributes to a patient’s overall long-term cumulative radiation exposure. Long-term cumulative radiation exposure is associated with an increased risk of cancer. Ensure safe handling and preparation reconstitution procedures to protect patients and healthcare workers from unintentional radiation exposure. Encourage adequate hydration; instruct patients to void when the examination is completed and as often thereafter as possible. Hypersensitivity Reactions: Hypersensitivity reactions, including anaphylaxis, dyspnea, bronchospasm, throat tightness, coughing, tachycardia, chest pain, hypotension, abdominal pain, and cutaneous reactions (rash, urticuria, pruritus, erythema, and swelling or angiodema) have been observed after the administration of Myoview. Always have cardiopulmonary resuscitation equipment and personnel available, and monitor all patients for hypersensitivity reactions. Nursing Mothers: Technetium Tc-99m tetrofosmin is present in human milk in small amounts (<1% of maternal dose). There are no data available regarding the effects of technetium Tc-99m tetrofosmin on the breastfed infant or on milk production. The developmental and health benefits of breastfeeding should be considered along with the mother's clinical need for Myoview and any other potential adverse effects on the breastfed child from Myoview or from the underlying maternal condition. Pediatric Use: Safety and effectiveness in pediatric patients have not been established. Geriatric Use: No overall differences in safety were observed between these subjects and younger subjects. Other reported clinical experience has not identified differences in responses between elderly and younger patients, but greater sensitivity regarding some older individuals cannot be ruled out. ADVERSE REACTIONS: Serious episodes of angina, ventricular tachycardia, and respiratory arrest were reported. Other events included angina, hypertension, torsades de pointes, vomiting, abdominal discomfort, cutaneous allergy, hypotension, dyspnea, metallic taste, burning of the mouth, and smell alteration. The following were reported when used with pharmacological stress: Angina, flushing, dyspnea, headache, abdominal pain, dizziness, palpitations, nausea, hypotension, pain, cough, arrhythmia, bronchospasm, ECG (electrocardiogram) abnormalities, hypertension, vomiting, and asthenia. Postmarketing adverse reactions included rash, urticaria, abnormal vision, hypersensitivity reactions, and fever.
Prior to Myoview administration, please read the full Prescribing Information.
To report SUSPECTED ADVERSE REACTIONS, contact GE Healthcare at 800 654 0118 (option 2), or the FDA at 800 FDA 1088 or www.fda.gov/medwatch.