S25.122A Medicare coverage policies

33 active Medicare policies list S25.122A. 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 S25.122A

LCD · FIRST_COAST-L36767

Aortography and peripheral angiography

J9 · Effective Oct 31, 2016

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 · NORIDIAN-JE-L34315

Electrocardiograms

JE · Effective Oct 1, 2015

LCD · NORIDIAN-JF-L34315

Electrocardiograms

JF · Effective Oct 1, 2015

LCD · FIRST_COAST-L40288

Non-invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities

LCD · FIRST_COAST-L40289

Non-invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities

J9 · Effective May 17, 2026

LCD · NOVITAS-JH-L40275

Non-invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities

LCD · NOVITAS-JH-L40276

Non-invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities

JH · Effective May 17, 2026

LCD · NOVITAS-JL-L40275