Q21.20 coverage policies: Medicare and commercial payers

42 active Medicare policies list Q21.20, 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.

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Medicare policies listing Q21.20

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 · NGS-J6-L33559

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

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L33559

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

JK · Effective Oct 1, 2015

LCD · NORIDIAN-JE-L34324

Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography

JE · Effective Oct 1, 2015

LCD · NORIDIAN-JF-L34324

Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography

Commercial payer policies listing Q21.20

1 policy from 1 payer

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

Aetna

Aetna policies listing Q21.20, with the code’s status in each
Policy	Effective	Status of Q21.20
Catheter-Directed Cardiac ProceduresPayerPolicy · AETNA-CPB-0292	Dec 5, 2023	Covered