K74.3 coverage policies: Medicare and commercial payers

44 active Medicare policies list K74.3, 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 K74.3

LCD · NOVITAS-JH-L34914

Assays for Vitamins and Metabolic Function

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L34914

Assays for Vitamins and Metabolic Function

JL · Effective Oct 1, 2015

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 · FIRST_COAST-L33583

Diagnostic and Therapeutic Esophagogastroduodenoscopy

J9 · Effective Oct 1, 2015

LCD · CGS-J15-L34081

Endoscopy by Capsule

J15 · Effective Oct 1, 2015

LCD · NOVITAS-JH-L35049

Monitored Anesthesia Care

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35049

Monitored Anesthesia Care

JL · Effective Oct 1, 2015

LCD · WPS-J5-L35755

Non-Invasive Abdominal / Visceral Vascular Studies

J5 · Effective Oct 1, 2015

LCD · WPS-J8-L35755

Non-Invasive Abdominal / Visceral Vascular Studies

Commercial payer policies listing K74.3

3 policies from 1 payer

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

Aetna

Aetna policies listing K74.3, with the code’s status in each
Policy	Effective	Status of K74.3
Magnetic Resonance CholangiopancreatographyPayerPolicy · AETNA-CPB-0384	Feb 15, 2024	Covered
Transjugular Intrahepatic Portosystemic Shunt (TIPSS)PayerPolicy · AETNA-CPB-0259	May 5, 2023	Covered
Tumor MarkersPayerPolicy · AETNA-CPB-0352	Mar 5, 2024	Covered