About this policy
The information in this article contains billing, coding or other guidelines that complement the Local Coverage Determination (LCD) for MolDX: Biomarkers in Cardiovascular Risk Assessment L36139 .
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 |
|---|---|---|
| 82172 | HCPCS | Covered |
| 82610 | HCPCS | Covered |
| 83090 | HCPCS | Covered |
| 83695 | HCPCS | Covered |
| 83698 | HCPCS | Covered |
| 83700 | HCPCS | Covered |
| 83701 | HCPCS | Covered |
| 83704 | HCPCS | Covered |
| 83719 | HCPCS | Covered |
| 83721 | HCPCS | Covered |
| 86141 | HCPCS | Covered |
| E71.30 | ICD10CM | Covered |
| E75.21 | ICD10CM | Covered |
| E75.22 | ICD10CM | Covered |
| E75.240 | ICD10CM | Covered |
| E75.241 | ICD10CM | Covered |
| E75.242 | ICD10CM | Covered |
| E75.243 | ICD10CM | Covered |
| E75.244 | ICD10CM | Covered |
| E75.248 | ICD10CM | Covered |
| E75.249 | ICD10CM | Covered |
| E75.3 | ICD10CM | Covered |
| E75.5 | ICD10CM | Covered |
| E75.6 | ICD10CM | Covered |
| E77.0 | ICD10CM | Covered |
| E77.8 | ICD10CM | Covered |
| E77.9 | ICD10CM | Covered |
| E78.00 | ICD10CM | Covered |
| E78.010 | ICD10CM | Covered |
| E78.011 | ICD10CM | Covered |
| E78.019 | ICD10CM | Covered |
| E78.1 | ICD10CM | Covered |
| E78.2 | ICD10CM | Covered |
| E78.3 | ICD10CM | Covered |
| E78.41 | ICD10CM | Covered |
| E78.49 | ICD10CM | Covered |
| E78.5 | ICD10CM | Covered |
| E78.70 | ICD10CM | Covered |
| E78.79 | ICD10CM | Covered |
| E78.81 | ICD10CM | Covered |
| E78.89 | ICD10CM | Covered |
| E78.9 | ICD10CM | Covered |
| E88.2 | ICD10CM | Covered |
| E88.89 | ICD10CM | Covered |
| I10 | ICD10CM | Covered |
| I25.10 | ICD10CM | Covered |
| I25.112 | ICD10CM | Covered |
| I42.0 | ICD10CM | Covered |
| I48.11 | ICD10CM | Covered |
| I48.19 | ICD10CM | Covered |
| I48.20 | ICD10CM | Covered |
| I48.21 | ICD10CM | Covered |
| I51.9 | ICD10CM | Covered |
| I52 | ICD10CM | Covered |
| I63.011 | ICD10CM | Covered |
| I63.012 | ICD10CM | Covered |
| I63.013 | ICD10CM | Covered |
| I63.02 | ICD10CM | Covered |
| I63.031 | ICD10CM | Covered |
| I63.032 | ICD10CM | Covered |
| I63.033 | ICD10CM | Covered |
| I63.09 | ICD10CM | Covered |
| I63.111 | ICD10CM | Covered |
| I63.112 | ICD10CM | Covered |
| I63.113 | ICD10CM | Covered |
| I63.12 | ICD10CM | Covered |
| I63.131 | ICD10CM | Covered |
| I63.132 | ICD10CM | Covered |
| I63.133 | ICD10CM | Covered |
| I63.19 | ICD10CM | Covered |
| I63.211 | ICD10CM | Covered |
| I63.212 | ICD10CM | Covered |
| I63.213 | ICD10CM | Covered |
| I63.22 | ICD10CM | Covered |
| I63.231 | ICD10CM | Covered |
| I63.232 | ICD10CM | Covered |
| I63.233 | ICD10CM | Covered |
| I63.29 | ICD10CM | Covered |
| I63.311 | ICD10CM | Covered |
| I63.312 | ICD10CM | Covered |
| I63.313 | ICD10CM | Covered |
| I63.321 | ICD10CM | Covered |
| I63.322 | ICD10CM | Covered |
| I63.323 | ICD10CM | Covered |
| I63.331 | ICD10CM | Covered |
| I63.332 | ICD10CM | Covered |
| I63.333 | ICD10CM | Covered |
| I63.341 | ICD10CM | Covered |
| I63.342 | ICD10CM | Covered |
| I63.343 | ICD10CM | Covered |
| I63.39 | ICD10CM | Covered |
| I63.411 | ICD10CM | Covered |
| I63.412 | ICD10CM | Covered |
| I63.413 | ICD10CM | Covered |
| I63.421 | ICD10CM | Covered |
| I63.422 | ICD10CM | Covered |
| I63.423 | ICD10CM | Covered |
| I63.431 | ICD10CM | Covered |
| I63.432 | ICD10CM | Covered |
| I63.433 | ICD10CM | Covered |
| I63.441 | ICD10CM | Covered |
| I63.442 | ICD10CM | Covered |
| I63.443 | ICD10CM | Covered |
| I63.49 | ICD10CM | Covered |
| I63.511 | ICD10CM | Covered |
| I63.512 | ICD10CM | Covered |
| I63.513 | ICD10CM | Covered |
| I63.521 | ICD10CM | Covered |
| I63.522 | ICD10CM | Covered |
| I63.523 | ICD10CM | Covered |
| I63.531 | ICD10CM | Covered |
| I63.532 | ICD10CM | Covered |
| I63.533 | ICD10CM | Covered |
| I63.541 | ICD10CM | Covered |
| I63.542 | ICD10CM | Covered |
| I63.543 | ICD10CM | Covered |
| I63.59 | ICD10CM | Covered |
| I63.81 | ICD10CM | Covered |
| I63.89 | ICD10CM | Covered |
| I63.9 | ICD10CM | Covered |
| I67.858 | ICD10CM | Covered |
| I70.0 | ICD10CM | Covered |
| I70.1 | ICD10CM | Covered |
| I70.201 | ICD10CM | Covered |
| I70.202 | ICD10CM | Covered |
| I70.203 | ICD10CM | Covered |
| I70.208 | ICD10CM | Covered |
| I70.211 | ICD10CM | Covered |
| I70.212 | ICD10CM | Covered |
| I70.213 | ICD10CM | Covered |
| I70.218 | ICD10CM | Covered |
| I70.221 | ICD10CM | Covered |
| I70.222 | ICD10CM | Covered |
| I70.223 | ICD10CM | Covered |
| I70.228 | ICD10CM | Covered |
| I70.231 | ICD10CM | Covered |
| I70.232 | ICD10CM | Covered |
| I70.233 | ICD10CM | Covered |
| I70.234 | ICD10CM | Covered |
| I70.235 | ICD10CM | Covered |
| I70.238 | ICD10CM | Covered |
| I70.241 | ICD10CM | Covered |
| I70.242 | ICD10CM | Covered |
| I70.243 | ICD10CM | Covered |
| I70.244 | ICD10CM | Covered |
| I70.245 | ICD10CM | Covered |
| I70.248 | ICD10CM | Covered |
| I70.25 | ICD10CM | Covered |
| I70.261 | ICD10CM | Covered |
| I70.262 | ICD10CM | Covered |
| I70.263 | ICD10CM | Covered |
| I70.268 | ICD10CM | Covered |
| I70.291 | ICD10CM | Covered |
| I70.292 | ICD10CM | Covered |
| I70.293 | ICD10CM | Covered |
| I70.298 | ICD10CM | Covered |
| I70.301 | ICD10CM | Covered |
| I70.302 | ICD10CM | Covered |
| I70.303 | ICD10CM | Covered |
| I70.308 | ICD10CM | Covered |
| I70.311 | ICD10CM | Covered |
| I70.312 | ICD10CM | Covered |
| I70.313 | ICD10CM | Covered |
| I70.318 | ICD10CM | Covered |
| I70.321 | ICD10CM | Covered |
| I70.322 | ICD10CM | Covered |
| I70.323 | ICD10CM | Covered |
| I70.328 | ICD10CM | Covered |
| I70.331 | ICD10CM | Covered |
| I70.332 | ICD10CM | Covered |
| I70.333 | ICD10CM | Covered |
| I70.334 | ICD10CM | Covered |
| I70.335 | ICD10CM | Covered |
| I70.8 | ICD10CM | Covered |
| I70.90 | ICD10CM | Covered |
| I70.91 | ICD10CM | Covered |
| I70.92 | ICD10CM | Covered |
| R00.2 | ICD10CM | Covered |
| R07.1 | ICD10CM | Covered |
| R07.2 | ICD10CM | Covered |
| R07.82 | ICD10CM | Covered |
| R07.89 | ICD10CM | Covered |
| R07.9 | ICD10CM | Covered |
| Z13.6 | ICD10CM | Covered |
| Z86.711 | ICD10CM | Covered |
| Z86.718 | ICD10CM | Covered |
| Z86.72 | ICD10CM | Covered |
| Z86.73 | ICD10CM | Covered |
| Z86.74 | ICD10CM | Covered |
| Z86.79 | ICD10CM | Covered |