N18.4 coverage policies: Medicare and commercial payers

101 active Medicare policies list N18.4, 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 N18.4

Showing 100 of 101

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 · FIRST_COAST-L38396

Cardiology Non-emergent Outpatient Stress Testing

J9 · Effective Mar 15, 2020

LCD · NOVITAS-JH-L35083

Cardiology Non-emergent Outpatient Stress Testing

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35083

Cardiology Non-emergent Outpatient Stress Testing

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-L33674

Duplex Scanning

J9 · Effective Oct 1, 2015

LCD · NGS-J6-L40333

Erythropoiesis Stimulating Agents

LCD · NGS-J6-L40334

Erythropoiesis Stimulating Agents

Commercial payer policies listing N18.4

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 N18.4, with the code’s status in each
Policy	Effective	Status of N18.4
Radiofrequency Tumor AblationPayerPolicy · AETNA-CPB-0492	Oct 6, 2023	Covered

UnitedHealthcare

UnitedHealthcare policies listing N18.4, with the code’s status in each
Policy	Effective	Status of N18.4
Parsabiv (Etelcalcetide)PayerPolicy · UHC-POL-parsabiv-etelcalcetide	Apr 1, 2026	Covered