Artificial Intelligence Enabled CT Based Quantitative Coronary Topography (AI-QCT )/Coronary Plaque Analysis (AI-CPA)
JE · Effective Dec 8, 2024
20 active Medicare policies list 75577, and 9 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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JE · Effective Dec 8, 2024
JF · Effective Dec 8, 2024
J15 · Effective Nov 24, 2024
J6 · Effective Nov 24, 2024
JK · Effective Nov 24, 2024
JJ · Effective Nov 24, 2024
JM · Effective Nov 24, 2024
9 policies from 8 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 75577 |
|---|---|---|
| Cigna Commercial Cardiology Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Policy | Effective | Status of 75577 |
|---|---|---|
| Aetna Cardiology and Radiology Code List | Jan 1, 2026 | Prior auth required |
J5 · Effective Nov 24, 2024
J8 · Effective Nov 24, 2024
J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
JJ · Effective Nov 22, 2020
JM · Effective Nov 22, 2020
National · Effective Jan 1, 2026
National · Effective Jan 1, 2026
J6 · Effective Apr 1, 2026
National · Effective Jan 1, 2026
J5 · Effective Jan 1, 2026
National · Effective Aug 6, 2026
National · Effective Jan 1, 2026
| Policy | Effective | Status of 75577 |
|---|
| Cigna Commercial & Medicare Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |
|---|
| Policy | Effective | Status of 75577 |
|---|---|---|
| GHI/Emblem Non-City of New York & Medicare Radiology and Cardiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 75577 |
|---|---|---|
| EOCCO Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 75577 |
|---|---|---|
| Health Alliance Plan Radiology Code List | Aug 1, 2026 | Prior auth required |
| Policy | Effective | Status of 75577 |
|---|---|---|
| Artificial Intelligence Augmented Analysis of Atherosclerotic Plaque from Computed Tomography Scan | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 75577 |
|---|---|---|
| The Health Plan Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |