Billing and Coding: Independent Diagnostic Testing Facilities (IDTF)
National · Effective Jan 1, 2026
1 active Medicare policy lists 78428, and 7 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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National · Effective Jan 1, 2026
7 policies from 6 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 78428 |
|---|---|---|
| Imaging of the Heart | Sep 19, 2026 | Covered |
| Imaging of the Heart | Nov 15, 2025 | Covered |
| Policy | Effective | Status of 78428 |
|---|---|---|
| GHI/Emblem Non-City of New York & Medicare Radiology and Cardiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 78428 |
|---|---|---|
| EOCCO Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 78428 |
|---|---|---|
| Pediatric Cardiac Imaging Guidelines | Feb 3, 2026 | Covered |
| Policy | Effective | Status of 78428 |
|---|---|---|
| Health Alliance Plan Radiology Code List | Aug 1, 2026 | Prior auth required |
| Policy | Effective | Status of 78428 |
|---|---|---|
| The Health Plan Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |