Cardiac Radionuclide Imaging
JJ · Effective Oct 1, 2015
9 active Medicare policies list 78431, and 17 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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JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J9 · Effective Mar 15, 2020
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
National · Effective Oct 1, 2026
JL · Effective Jan 1, 2026
J9 · Effective Jan 1, 2026
National · Effective Aug 6, 2026
17 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 78431 |
|---|---|---|
| Imaging of the Heart | Sep 19, 2026 | Covered |
| Imaging of the Heart [for Wellpoint Massachusetts] | Nov 15, 2025 | Covered |
| Policy | Effective | Status of 78431 |
|---|---|---|
| Cigna Commercial Radiology Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List |
| Mar 7, 2026 |
| Prior auth required |
| Policy | Effective | Status of 78431 |
|---|---|---|
| Cigna Commercial & Medicare Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |
| Cigna OBM Radiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 78431 |
|---|---|---|
| Aetna Cardiology and Radiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 78431 |
|---|---|---|
| Cardiac Applications of Positron Emission Tomography Scanning | Dec 15, 2025 | Covered |
| Policy | Effective | Status of 78431 |
|---|---|---|
| Cardiac Applications of Positron Emission Tomography Scanning | Dec 15, 2025 | Covered |
| Policy | Effective | Status of 78431 |
|---|---|---|
| Cardiac Applications of Positron Emission Tomography Scanning | Dec 15, 2025 | Covered |
| Policy | Effective | Status of 78431 |
|---|---|---|
| Cardiac Applications of Positron Emission Tomography Scanning | Dec 15, 2025 | Covered |
| Policy | Effective | Status of 78431 |
|---|---|---|
| GHI/Emblem Non-City of New York & Medicare Radiology and Cardiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 78431 |
|---|---|---|
| EOCCO Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 78431 |
|---|---|---|
| Pediatric Cardiac Imaging Guidelines | Feb 3, 2026 | Covered with conditions |
| Policy | Effective | Status of 78431 |
|---|---|---|
| Health Partners Plans Cardiology, Radiology, and Ultrasound Code List | Jul 1, 2025 | Prior auth required |
| Policy | Effective | Status of 78431 |
|---|---|---|
| Cardiovascular Nuclear Imaging and Stress Testing | May 1, 2026 | Covered |
| Policy | Effective | Status of 78431 |
|---|---|---|
| The Health Plan Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |