I97.620 coverage policies: Medicare and commercial payers

17 active Medicare policies list I97.620, 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 I97.620

LCD · FIRST_COAST-L36767

Aortography and peripheral angiography

J9 · Effective Oct 31, 2016

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 · 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

LCD · PALMETTO-JJ-L34577

Retroperitoneal Ultrasound

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L34577

Retroperitoneal Ultrasound

Commercial payer policies listing I97.620

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 I97.620, with the code’s status in each
Policy	Effective	Status of I97.620
Transthoracic Echocardiography in AdultsPayerPolicy · CIGNA-0510	Sep 15, 2026	Covered

I97.620 coverage policies: Medicare and commercial payers

Medicare policies listing I97.620

Aortography and peripheral angiography

CT of the Abdomen and Pelvis

CT of the Abdomen and Pelvis

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

Retroperitoneal Ultrasound

Retroperitoneal Ultrasound

Commercial payer policies listing I97.620

Cigna

I97.620 coverage policies: Medicare and commercial payers

Medicare policies listing I97.620

Aortography and peripheral angiography

CT of the Abdomen and Pelvis

CT of the Abdomen and Pelvis

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

Retroperitoneal Ultrasound

Retroperitoneal Ultrasound

Commercial payer policies listing I97.620

Cigna

Billing and Coding: Aortography and Peripheral Angiography

Billing and Coding: CT of the Abdomen and Pelvis

Billing and Coding: Duplex Scan of Lower Extremity Arteries

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

Billing and Coding: Retroperitoneal Ultrasound