Q87.410 coverage policies: Medicare and commercial payers

41 active Medicare policies list Q87.410, 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.

Get free alerts for Q87.410

Free account. Policy pages stay open to everyone.

Medicare policies listing Q87.410

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 · PALMETTO-JJ-L37379

Echocardiography

JJ · Effective Sep 18, 2017

LCD · PALMETTO-JM-L37379

Echocardiography

JM · Effective Sep 18, 2017

LCD · NGS-J6-L33633

Magnetic Resonance Angiography (MRA)

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L33633

Magnetic Resonance Angiography (MRA)

JK · Effective Oct 1, 2015

LCD · NOVITAS-JH-L34865

Magnetic Resonance Angiography (MRA)

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L34865

Magnetic Resonance Angiography (MRA)

JL · Effective Oct 1, 2015

LCD · CGS-J15-L39938

MolDX: Genetic Testing for Heritable Thoracic Aortic Disease

J15 · Effective Aug 17, 2025

LCD · NORIDIAN-JE-L39944

MolDX: Genetic Testing for Heritable Thoracic Aortic Disease

Commercial payer policies listing Q87.410

2 policies from 2 payers

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

Ambetter

Ambetter policies listing Q87.410, with the code’s status in each
Policy	Effective	Status of Q87.410
Medically Necessary Optical HardwarePayerPolicy · AMBETTER-CP-VP-06	Not recorded	Covered

Cigna

Cigna policies listing Q87.410, with the code’s status in each
Policy	Effective	Status of Q87.410
Transthoracic Echocardiography in AdultsPayerPolicy · CIGNA-0510	Sep 15, 2026	Covered with conditions