I50.30 coverage policies: Medicare and commercial payers

89 active Medicare policies list I50.30, 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 I50.30

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 · FIRST_COAST-L33267

B-Type Natriuretic Peptide (BNP)

J9 · Effective Oct 1, 2015

LCD · CGS-J15-L33943

B-type Natriuretic Peptide (BNP) Testing

J15 · Effective Oct 1, 2015

LCD · NGS-J6-L33573

B-type Natriuretic Peptide (BNP) Testing

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L33573

B-type Natriuretic Peptide (BNP) Testing

JK · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L34410

B-type Natriuretic Peptide (BNP) Testing

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L34410

B-type Natriuretic Peptide (BNP) Testing

JM · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L33457

Cardiac Radionuclide Imaging

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L33457

Commercial payer policies listing I50.30

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 I50.30, with the code’s status in each
Policy	Effective	Status of I50.30
Pulmonary Function TestingPayerPolicy · AMBETTER-CP-MP-242	Not recorded	Covered