Category III Codes
J5 · Effective Oct 1, 2015
15 active Medicare policies list 75580, and 11 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 Oct 1, 2015
J8 · Effective Oct 1, 2015
J15 · Effective Apr 25, 2021
JE · Effective Apr 26, 2021
JF · Effective Apr 26, 2021
JJ · Effective Nov 22, 2020
JM · Effective Nov 22, 2020
J5 · Effective Apr 25, 2021
J8 · Effective Apr 25, 2021
11 policies from 9 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 75580 |
|---|---|---|
| Imaging of the Heart | Sep 19, 2026 | Covered |
| Imaging of the Heart [for Wellpoint Massachusetts] | Nov 15, 2025 | Covered |
| Policy | Effective | Status of 75580 |
|---|---|---|
| 2024 CPT 75580 Addendum to Cardiology & Radiology Imaging Guidelines | May 1, 2024 | Covered |
| Pediatric Cardiac Imaging Guidelines |
National · Effective Aug 6, 2026
National · Effective Oct 1, 2026
National · Effective Sep 3, 2026
National · Effective Jan 1, 2026
J5 · Effective Jan 1, 2024
J6 · Effective Apr 1, 2026
| Feb 3, 2026 |
| Covered with conditions |
| Policy | Effective | Status of 75580 |
|---|---|---|
| Aetna Cardiology and Radiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 75580 |
|---|---|---|
| Cigna Commercial & Medicare Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 75580 |
|---|---|---|
| GHI/Emblem Non-City of New York & Medicare Radiology and Cardiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 75580 |
|---|---|---|
| Health Partners Plans Cardiology, Radiology, and Ultrasound Code List | Jul 1, 2025 | Prior auth required |
| Policy | Effective | Status of 75580 |
|---|---|---|
| Coronary CT Angiography, Fractional Flow Reserve with CT and Adjunctive Testing | Jul 1, 2026 | Covered |
| Policy | Effective | Status of 75580 |
|---|---|---|
| The Health Plan Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 75580 |
|---|---|---|
| Non-Invasive Fractional Flow Reserve (FFR) for Ischemic Heart Disease | Not recorded | Covered |