I70.201 coverage policies: Medicare and commercial payers

52 active Medicare policies list I70.201, and 2 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 I70.201

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 · NOVITAS-JH-L35092

Diagnostic Abdominal Aortography and Renal Angiography

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35092

Diagnostic Abdominal Aortography and Renal Angiography

JL · Effective Oct 1, 2015

LCD · FIRST_COAST-L33674

Duplex Scanning

J9 · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L40228

Endovascular Management for Peripheral Arterial Disease of the Upper and Lower Extremities

JJ · Effective Apr 12, 2026

LCD · PALMETTO-JM-L40228

Endovascular Management for Peripheral Arterial Disease of the Upper and Lower Extremities

JM · Effective Apr 12, 2026

LCD · PALMETTO-JJ-L34419

Homocysteine Level, Serum

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L34419

Homocysteine Level, Serum

JM · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L34424

Commercial payer policies listing I70.201

2 policies from 1 payer

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

Anthem

Anthem policies listing I70.201, with the code’s status in each
Policy	Effective	Status of I70.201
Outpatient Laboratory-based Blood Glucose TestingClinical Guideline · ANTHEM-CG-LAB-30	Jul 1, 2026	Covered
Therapeutic use of Stem Cells, Blood and Bone Marrow ProductsPayerPolicy · ANTHEM-TRANS.00035	Oct 1, 2026	Not covered