Artificial Intelligence Enabled CT Based Quantitative Coronary Topography (AI-QCT)/Coronary Plaque Analysis (AI-CPA)
J5 · Effective Nov 24, 2024
16 active Medicare policies list 75572, and 16 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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J5 · Effective Nov 24, 2024
J8 · Effective Nov 24, 2024
J15 · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
16 policies from 14 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 75572 |
|---|---|---|
| Imaging of the Heart | Sep 19, 2026 | Covered |
| Imaging of the Heart | Nov 15, 2025 | Covered |
| Policy | Effective | Status of 75572 |
|---|---|---|
| Cigna Commercial & Medicare Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |
| Cigna OBM Radiology Code List |
J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
National · Effective Oct 9, 2025
J6 · Effective Apr 1, 2026
National · Effective Oct 1, 2026
J5 · Effective Oct 1, 2026
National · Effective Aug 6, 2026
| Jan 1, 2026 |
| Prior auth required |
| Policy | Effective | Status of 75572 |
|---|---|---|
| Aetna Cardiology and Radiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 75572 |
|---|---|---|
| Computed Tomography to Detect Coronary Artery Calcification | Nov 15, 2025 | Covered |
| Policy | Effective | Status of 75572 |
|---|---|---|
| Computed Tomography to Detect Coronary Artery Calcification | Nov 15, 2025 | Covered |
| Policy | Effective | Status of 75572 |
|---|---|---|
| Computed Tomography to Detect Coronary Artery Calcification | Nov 15, 2025 | Covered |
| Policy | Effective | Status of 75572 |
|---|---|---|
| Computed Tomography to Detect Coronary Artery Calcification | Nov 15, 2025 | Covered |
| Policy | Effective | Status of 75572 |
|---|---|---|
| GHI/Emblem Non-City of New York & Medicare Radiology and Cardiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 75572 |
|---|---|---|
| EOCCO Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 75572 |
|---|---|---|
| Pediatric Cardiac Imaging Guidelines | Feb 3, 2026 | Covered with conditions |
| Policy | Effective | Status of 75572 |
|---|---|---|
| Health Partners Plans Cardiology, Radiology, and Ultrasound Code List | Jul 1, 2025 | Prior auth required |
| Policy | Effective | Status of 75572 |
|---|---|---|
| The Health Plan Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 75572 |
|---|---|---|
| Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) Scan – Site of Service | Sep 1, 2026 | Covered |
| Policy | Effective | Status of 75572 |
|---|---|---|
| Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) Scan – Site of Service | Sep 1, 2026 | Covered |