I97.42 coverage policies: Medicare and commercial payers

14 active Medicare policies list I97.42, 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.

Get free alerts for I97.42

Free account. Policy pages stay open to everyone.

Medicare policies listing I97.42

LCD · PALMETTO-JJ-L34415

CT of the Abdomen and Pelvis

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L34415

CT of the Abdomen and Pelvis

JM · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L34417

CT of the Head

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L34417

CT of the Head

JM · Effective Oct 1, 2015

LCD · WPS-J5-L35761

Non-Invasive Peripheral Arterial Vascular Studies

J5 · Effective Oct 1, 2015

LCD · WPS-J8-L35761

Non-Invasive Peripheral Arterial Vascular Studies

J8 · Effective Oct 1, 2015

LCD · WPS-J5-L35751

Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies

J5 · Effective Oct 1, 2015

LCD · WPS-J8-L35751

Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies

J8 · Effective Oct 1, 2015

LCD · CGS-J15-L34045

Non-Invasive Vascular Studies

J15 · Effective Oct 1, 2015

Article · A56421

Billing and Coding: CT of the Abdomen and Pelvis

National · Effective Oct 1, 2026

Commercial payer policies listing I97.42

1 policy from 1 payer

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

Cigna

Cigna policies listing I97.42, with the code’s status in each
Policy	Effective	Status of I97.42
Transthoracic Echocardiography in AdultsPayerPolicy · CIGNA-0510	Sep 15, 2026	Covered

I97.42 coverage policies: Medicare and commercial payers

Medicare policies listing I97.42

CT of the Abdomen and Pelvis

CT of the Abdomen and Pelvis

CT of the Head

CT of the Head

Non-Invasive Peripheral Arterial Vascular Studies

Non-Invasive Peripheral Arterial Vascular Studies

Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies

Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies

Non-Invasive Vascular Studies

Billing and Coding: CT of the Abdomen and Pelvis

Commercial payer policies listing I97.42

Cigna

I97.42 coverage policies: Medicare and commercial payers

Medicare policies listing I97.42

CT of the Abdomen and Pelvis

CT of the Abdomen and Pelvis

CT of the Head

CT of the Head

Non-Invasive Peripheral Arterial Vascular Studies

Non-Invasive Peripheral Arterial Vascular Studies

Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies

Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies

Non-Invasive Vascular Studies

Billing and Coding: CT of the Abdomen and Pelvis

Commercial payer policies listing I97.42

Cigna

Billing and Coding: CT of the Head

Billing and Coding: Non-Invasive Peripheral Arterial Vascular Studies

Billing and Coding: Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies

Billing and Coding: Non-Invasive Vascular Studies