Should a patient with a history of dyspnea on exertion, mild emphysema, and chronic pancreatitis, who recently quit smoking and has not shown improvement with ICS (Inhaled Corticosteroids)/LABA (Long-Acting Beta Agonists), undergo a CTA (Computed Tomography Angiography) heart and FFR (Fractional Flow Reserve) despite not meeting the MCG (Milliman Care Guidelines) criteria?

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Should a patient with a history of dyspnea on exertion, mild emphysema, and chronic pancreatitis, who recently quit smoking and has not shown improvement with ICS (Inhaled Corticosteroids)/LABA (Long-Acting Beta Agonists), undergo a CTA (Computed Tomography Angiography) heart and FFR (Fractional Flow Reserve) despite not meeting the MCG (Milliman Care Guidelines) criteria?
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