I50.9 coverage policies: Medicare and commercial payers

95 active Medicare policies list I50.9, and 5 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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Medicare policies listing I50.9

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 · 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

LCD · PALMETTO-JM-L34410

Commercial payer policies listing I50.9

5 policies from 2 payers

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

Anthem

Anthem policies listing I50.9, with the code’s status in each
Policy	Effective	Status of I50.9
Outpatient Urine CultureClinical Guideline · ANTHEM-CG-LAB-24	Jan 6, 2026	Covered
Serum Iron TestingClinical Guideline · ANTHEM-CG-LAB-21	Apr 15, 2026	Covered
Thyroid TestingClinical Guideline · ANTHEM-CG-LAB-20	Apr 15, 2026	Covered
Ultrafiltration in Decompensated Heart FailurePayerPolicy · ANTHEM-MED.00102	Apr 15, 2026	Not covered

Ambetter

Ambetter policies listing I50.9, with the code’s status in each
Policy	Effective	Status of I50.9
Pulmonary Function TestingPayerPolicy · AMBETTER-CP-MP-242