J98.01 coverage policies: Medicare and commercial payers

22 active Medicare policies list J98.01, 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 J98.01

LCD · NGS-J6-L33573

B-type Natriuretic Peptide (BNP) Testing

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L33573

B-type Natriuretic Peptide (BNP) Testing

JK · Effective Oct 1, 2015

LCD · NORIDIAN-JE-L35526

B-type Natriuretic Peptide (BNP) Testing

JE · Effective Oct 1, 2015

LCD · NORIDIAN-JF-L35526

B-type Natriuretic Peptide (BNP) Testing

JF · Effective Oct 1, 2015

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 · 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 · NOVITAS-JH-L35434

Oximetry Services

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35434

Oximetry Services

Commercial payer policies listing J98.01

2 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 J98.01, with the code’s status in each
Policy	Effective	Status of J98.01
Polymerase Chain Reaction Testing: Selected IndicationsPayerPolicy · AETNA-CPB-0650	Feb 9, 2024	Covered

Ambetter

Ambetter policies listing J98.01, with the code’s status in each
Policy	Effective	Status of J98.01
Pulmonary Function TestingPayerPolicy · AMBETTER-CP-MP-242	Not recorded	Covered