About this policy
The information in this article contains billing, coding or other guidelines that complement the Local Coverage Determination (LCD) for B-type Natriuretic Peptide (BNP) Testing L34410. Documentation Requirements The patient's medical record must contain documentation that fully supports the medical necessity for services included within the related LCD (see Coverage Indications, Limitations and/or Medical Necessity ). This documentation includes, but is not limited to, relevant medical history, physical examination, and results of pertinent diagnostic tests or procedures. Documentation supporting the medical necessity should be legible, maintained in the patient's medical record, and must be made available to the A/B MAC upon request. Utilization Guidelines As a diagnostic test, BNP testing is not expected to be performed more than 4 times in a given year. The use of BNP for monitoring CHF is not covered.
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
| Code | Code system | Status in this policy |
|---|---|---|
| 83880 | HCPCS | Covered |
| E85.81 | ICD10CM | Covered |
| E85.82 | ICD10CM | Covered |
| E85.89 | ICD10CM | Covered |
| I11.0 | ICD10CM | Covered |
| I13.0 | ICD10CM | Covered |
| I13.2 | ICD10CM | Covered |
| I16.0 | ICD10CM | Covered |
| I16.1 | ICD10CM | Covered |
| I16.9 | ICD10CM | Covered |
| I1A.0 | ICD10CM | Covered |
| I20.0 | ICD10CM | Covered |
| I20.81 | ICD10CM | Covered |
| I20.89 | ICD10CM |