I73.9 coverage policies: Medicare and commercial payers

53 active Medicare policies list I73.9, and 3 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 I73.9

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-L34424

Magnetic Resonance Angiography

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L34424

Magnetic Resonance Angiography

JM · Effective Oct 1, 2015

LCD · NGS-J6-L33633

Magnetic Resonance Angiography (MRA)

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L33633

Magnetic Resonance Angiography (MRA)

JK · Effective Oct 1, 2015

LCD · NOVITAS-JH-L34865

Commercial payer policies listing I73.9

3 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 I73.9, with the code’s status in each
Policy	Effective	Status of I73.9
Foot Care ServicesClinical Guideline · ANTHEM-CG-MED-92	Jan 6, 2026	Covered
Hyperbaric Oxygen Therapy (Systemic/Topical)Clinical Guideline · ANTHEM-CG-MED-73	Jul 1, 2026	Covered
Therapeutic use of Stem Cells, Blood and Bone Marrow ProductsPayerPolicy · ANTHEM-TRANS.00035	Oct 1, 2026	Not covered