T86.39 coverage policies: Medicare and commercial payers

51 active Medicare policies list T86.39, 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 T86.39

Free account. Policy pages stay open to everyone.

Medicare policies listing T86.39

LCD · NOVITAS-JH-L34914

Assays for Vitamins and Metabolic Function

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L34914

Assays for Vitamins and Metabolic Function

JL · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L33457

Cardiac Radionuclide Imaging

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L33457

Cardiac Radionuclide Imaging

JM · 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 · FIRST_COAST-L38396

Cardiology Non-emergent Outpatient Stress Testing

J9 · Effective Mar 15, 2020

LCD · NOVITAS-JH-L35083

Cardiology Non-emergent Outpatient Stress Testing

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35083

Cardiology Non-emergent Outpatient Stress Testing

JL · Effective Oct 1, 2015

LCD · NGS-J6-L33560

Cardiovascular Nuclear Medicine

Commercial payer policies listing T86.39

2 policies from 1 payer

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

Aetna

Aetna policies listing T86.39, with the code’s status in each
Policy	Effective	Status of T86.39
Electrical Bioimpedance for Cardiac Output Monitoring and Other Selected IndicationsPayerPolicy · AETNA-CPB-0472	Jun 15, 2023	Covered
Extracorporeal Photochemotherapy (Photopheresis)PayerPolicy · AETNA-CPB-0241	Mar 29, 2023	Covered