Transesophageal Echocardiography (TEE)
J15 · Effective Oct 1, 2015
12 active Medicare policies list 76377, and 14 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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J15 · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
J15 · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
National · Effective Aug 6, 2026
National · Effective Oct 2, 2025
J6 · Effective Oct 1, 2026
National · Effective Sep 3, 2026
14 policies from 12 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 76377 |
|---|---|---|
| Breast Biopsy Procedures | Apr 26, 2023 | Covered |
| Ultrasound for Pregnancy | Jul 11, 2023 | Covered |
| Vitiligo | Feb 16, 2024 | Covered |
| Policy | Effective | Status of 76377 |
|---|---|---|
| Use of 3-D, 4-D or 5-D Ultrasound in Maternity Care | Apr 15, 2026 | Not covered |
J6 · Effective Oct 1, 2026
National · Effective Apr 16, 2026
| Policy | Effective | Status of 76377 |
|---|
| GHI/Emblem Non-City of New York & Medicare Radiology and Cardiology Code List | Jan 1, 2026 | Prior auth required |
|---|
| Policy | Effective | Status of 76377 |
|---|---|---|
| EOCCO Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 76377 |
|---|---|---|
| Obstetrical Ultrasound Imaging Guidelines | Mar 1, 2025 | Covered |
| Policy | Effective | Status of 76377 |
|---|---|---|
| Health Alliance Plan Radiology Code List | Aug 1, 2026 | Prior auth required |
| Policy | Effective | Status of 76377 |
|---|---|---|
| Health Partners Plans Cardiology, Radiology, and Ultrasound Code List | Jul 1, 2025 | Prior auth required |
| Policy | Effective | Status of 76377 |
|---|---|---|
| Breast Imaging for Screening and Diagnosing Cancer | Feb 1, 2026 | Covered |
| Policy | Effective | Status of 76377 |
|---|---|---|
| The Health Plan Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 76377 |
|---|---|---|
| Breast Imaging for Screening and Diagnosing Cancer | Feb 1, 2026 | Covered |
| Policy | Effective | Status of 76377 |
|---|---|---|
| Breast Imaging for Screening and Diagnosing Cancer | Feb 1, 2026 | Covered |
| Policy | Effective | Status of 76377 |
|---|---|---|
| Radiologic Diagnostic Procedures | Not recorded | Covered |