I25.722 coverage policies: Medicare and commercial payers

84 active Medicare policies list I25.722, and 1 commercial payer policy lists 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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Medicare policies listing I25.722

LCD · FIRST_COAST-L39492

Ambulatory Electrocardiograph (AECG) Monitoring

J9 · Effective Jun 11, 2023

LCD · NOVITAS-JH-L39490

Ambulatory Electrocardiograph (AECG) Monitoring

JH · Effective Jun 11, 2023

LCD · NOVITAS-JL-L39490

Ambulatory Electrocardiograph (AECG) Monitoring

JL · Effective Jun 11, 2023

LCD · FIRST_COAST-L36767

Aortography and peripheral angiography

J9 · Effective Oct 31, 2016

LCD · WPS-J5-L39913

Artificial Intelligence Enabled CT Based Quantitative Coronary Topography (AI-QCT)/Coronary Plaque Analysis (AI-CPA)

J5 · Effective Nov 24, 2024

LCD · WPS-J8-L39913

Artificial Intelligence Enabled CT Based Quantitative Coronary Topography (AI-QCT)/Coronary Plaque Analysis (AI-CPA)

J8 · Effective Nov 24, 2024

LCD · CGS-J15-L33943

B-type Natriuretic Peptide (BNP) Testing

J15 · Effective Oct 1, 2015

LCD · NORIDIAN-JE-L35526

B-type Natriuretic Peptide (BNP) Testing

JE · Effective Oct 1, 2015

LCD · NORIDIAN-JF-L35526

B-type Natriuretic Peptide (BNP) Testing

JF · Effective Oct 1, 2015

Commercial payer policies listing I25.722

1 policy from 1 payer

Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.

Ambetter

Ambetter policies listing I25.722, with the code’s status in each
Policy	Effective	Status of I25.722
Holter MonitorsPayerPolicy · AMBETTER-CP-MP-113	Not recorded	Covered