I70.92 coverage policies: Medicare and commercial payers

48 active Medicare policies list I70.92, 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 I70.92

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 · FIRST_COAST-L38396

Cardiology Non-emergent Outpatient Stress Testing

J9 · Effective Mar 15, 2020

LCD · NOVITAS-JH-L35083

Cardiology Non-emergent Outpatient Stress Testing

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35083

Cardiology Non-emergent Outpatient Stress Testing

JL · 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-L34424

Magnetic Resonance Angiography

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L34424

Magnetic Resonance Angiography

JM · Effective Oct 1, 2015

Commercial payer policies listing I70.92

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 I70.92, with the code’s status in each
Policy	Effective	Status of I70.92
Foot Care ServicesClinical Guideline · ANTHEM-CG-MED-92	Jan 6, 2026	Covered
Outpatient Laboratory-based Blood Glucose TestingClinical Guideline · ANTHEM-CG-LAB-30	Jul 1, 2026	Covered