I25.750 coverage policies: Medicare and commercial payers

102 active Medicare policies list I25.750, 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.

Get free alerts for I25.750

Free account. Policy pages stay open to everyone.

Medicare policies listing I25.750

Showing 100 of 102

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 · 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

LCD · PALMETTO-JJ-L34410

B-type Natriuretic Peptide (BNP) Testing

JJ · Effective Oct 1, 2015

Commercial payer policies listing I25.750

1 policy from 1 payer

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

Anthem

Anthem policies listing I25.750, with the code’s status in each
Policy	Effective	Status of I25.750
Enhanced External Counterpulsation in the Outpatient SettingClinical Guideline · ANTHEM-CG-MED-86	Jan 6, 2026	Covered