I63.231 coverage policies: Medicare and commercial payers

105 active Medicare policies list I63.231, 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 I63.231

Showing 100 of 105

LCD · FIRST_COAST-L36767

Aortography and peripheral angiography

J9 · Effective Oct 31, 2016

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 · CGS-J15-L38694

Computed Tomography Cerebral Perfusion Analysis (CTP)

J15 · Effective Nov 2, 2020

LCD · NGS-J6-L38667

Computed Tomography Cerebral Perfusion Analysis (CTP)

J6 · Effective Nov 1, 2020

LCD · NGS-JK-L38667

Computed Tomography Cerebral Perfusion Analysis (CTP)

JK · Effective Nov 1, 2020

LCD · NORIDIAN-JE-L38709

Commercial payer policies listing I63.231

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 I63.231, with the code’s status in each
Policy	Effective	Status of I63.231
Carotid, Vertebral and Intracranial Artery Stent Placement with or without AngioplastyClinical Guideline · ANTHEM-CG-SURG-76	Oct 1, 2026	Covered