J81.0 coverage policies: Medicare and commercial payers

53 active Medicare policies list J81.0, and 4 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 J81.0

LCD · PALMETTO-JJ-L34410

B-type Natriuretic Peptide (BNP) Testing

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L34410

B-type Natriuretic Peptide (BNP) Testing

JM · Effective Oct 1, 2015

LCD · CGS-J15-L33959

Cardiac Catheterization and Coronary Angiography

J15 · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L33459

Computerized Axial Tomography (CT), Thorax

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L33459

Computerized Axial Tomography (CT), Thorax

JM · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L37379

Echocardiography

JJ · Effective Sep 18, 2017

LCD · PALMETTO-JM-L37379

Echocardiography

JM · Effective Sep 18, 2017

LCD · NORIDIAN-JE-L34315

Electrocardiograms

JE · Effective Oct 1, 2015

LCD · NORIDIAN-JF-L34315

Electrocardiograms

JF · Effective Oct 1, 2015

LCD · CGS-J15-L37575

Frequency of Hemodialysis

J15 · Effective Apr 1, 2019

Commercial payer policies listing J81.0

4 policies from 2 payers

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

Aetna

Aetna policies listing J81.0, with the code’s status in each
Policy	Effective	Status of J81.0
Color-Flow Doppler Echocardiography and Myocardial Strain ImagingPayerPolicy · AETNA-CPB-0008	Mar 14, 2023	Covered
DialysisPayerPolicy · AETNA-CPB-0541	Aug 10, 2023	Covered
Polymerase Chain Reaction Testing: Selected IndicationsPayerPolicy · AETNA-CPB-0650	Feb 9, 2024	Covered

Ambetter

Ambetter policies listing J81.0, with the code’s status in each
Policy	Effective	Status of J81.0
Pulmonary Function TestingPayerPolicy · AMBETTER-CP-MP-242	Not recorded	Covered