I27.20 coverage policies: Medicare and commercial payers

41 active Medicare policies list I27.20, and 3 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.

Get free alerts for I27.20

Free account. Policy pages stay open to everyone.

Medicare policies listing I27.20

LCD · PALMETTO-JJ-L33457

Cardiac Radionuclide Imaging

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L33457

Cardiac Radionuclide Imaging

JM · Effective Oct 1, 2015

LCD · CGS-J15-L33959

Cardiac Catheterization and Coronary Angiography

J15 · Effective Oct 1, 2015

LCD · NGS-J6-L33557

Cardiac Catheterization and Coronary Angiography

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L33557

Cardiac Catheterization and Coronary Angiography

JK · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L33423

Cardiac Computed Tomography & Angiography (CCTA)

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L33423

Cardiac Computed Tomography & Angiography (CCTA)

JM · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L33459

Computerized Axial Tomography (CT), Thorax

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L33459

Computerized Axial Tomography (CT), Thorax

JM · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L37379

Echocardiography

Commercial payer policies listing I27.20

3 policies from 2 payers

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

Ambetter

Ambetter policies listing I27.20, with the code’s status in each
Policy	Effective	Status of I27.20
Pulmonary Function TestingPayerPolicy · AMBETTER-CP-MP-242	Not recorded	Covered
Therapeutic Utilization of Inhaled Nitric OxidePayerPolicy · AMBETTER-CP-MP-87	Not recorded	Covered

Anthem

Anthem policies listing I27.20, with the code’s status in each
Policy	Effective	Status of I27.20
Inhaled Nitric OxideClinical Guideline · ANTHEM-CG-MED-69	Jul 1, 2026	Covered