R06.03 coverage policies: Medicare and commercial payers

68 active Medicare policies list R06.03, 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 R06.03

LCD · WPS-J5-L36402

Allergy Testing

J5 · Effective Mar 18, 2016

LCD · WPS-J8-L36402

Allergy Testing

J8 · Effective Mar 18, 2016

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 · FIRST_COAST-L33267

B-Type Natriuretic Peptide (BNP)

J9 · Effective Oct 1, 2015

LCD · NGS-J6-L33573

B-type Natriuretic Peptide (BNP) Testing

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L33573

B-type Natriuretic Peptide (BNP) Testing

JK · Effective Oct 1, 2015

LCD · NORIDIAN-JE-L35526

B-type Natriuretic Peptide (BNP) Testing

JE · Effective Oct 1, 2015

LCD · NORIDIAN-JF-L35526

B-type Natriuretic Peptide (BNP) Testing

JF · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L34410

Commercial payer policies listing R06.03

3 policies from 3 payers

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

Aetna

Aetna policies listing R06.03, with the code’s status in each
Policy	Effective	Status of R06.03
Extracorporeal Membrane Oxygenation (ECMO)PayerPolicy · AETNA-CPB-0546	Aug 10, 2023	Covered

Ambetter

Ambetter policies listing R06.03, with the code’s status in each
Policy	Effective	Status of R06.03
Pulmonary Function TestingPayerPolicy · AMBETTER-CP-MP-242	Not recorded	Covered

Cigna

Cigna policies listing R06.03, with the code’s status in each
Policy	Effective	Status of R06.03
Transthoracic Echocardiography in AdultsPayerPolicy · CIGNA-0510	Sep 15, 2026	Covered