Q21.12 coverage policies: Medicare and commercial payers

53 active Medicare policies list Q21.12, 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.

Get free alerts for Q21.12

Free account. Policy pages stay open to everyone.

Medicare policies listing Q21.12

LCD · FIRST_COAST-L39492

Ambulatory Electrocardiograph (AECG) Monitoring

J9 · Effective Jun 11, 2023

LCD · NOVITAS-JH-L39490

Ambulatory Electrocardiograph (AECG) Monitoring

JH · Effective Jun 11, 2023

LCD · NOVITAS-JL-L39490

Ambulatory Electrocardiograph (AECG) Monitoring

JL · Effective Jun 11, 2023

LCD · WPS-J5-L39913

Artificial Intelligence Enabled CT Based Quantitative Coronary Topography (AI-QCT)/Coronary Plaque Analysis (AI-CPA)

J5 · Effective Nov 24, 2024

LCD · WPS-J8-L39913

Artificial Intelligence Enabled CT Based Quantitative Coronary Topography (AI-QCT)/Coronary Plaque Analysis (AI-CPA)

J8 · Effective Nov 24, 2024

LCD · CGS-J15-L33959

Cardiac Catheterization and Coronary Angiography

J15 · Effective Oct 1, 2015

LCD · NGS-J6-L33557

Cardiac Catheterization and Coronary Angiography

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L33557

Cardiac Catheterization and Coronary Angiography

JK · Effective Oct 1, 2015

LCD · CGS-J15-L33947

Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)

J15 · Effective Oct 1, 2015

Commercial payer policies listing Q21.12

1 policy from 1 payer

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

Anthem

Anthem policies listing Q21.12, with the code’s status in each
Policy	Effective	Status of Q21.12
Patent Foramen Ovale Closure DevicesPayerPolicy · ANTHEM-SURG.00032	Apr 15, 2026	Covered