Z94.1 coverage policies: Medicare and commercial payers

124 active Medicare policies list Z94.1, and 16 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 Z94.1

Showing 100 of 124

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 · NOVITAS-JH-L35062

Biomarkers Overview

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35062

Biomarkers Overview

JL · Effective Oct 1, 2015

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 · PALMETTO-JJ-L33423

Cardiac Computed Tomography & Angiography (CCTA)

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L33423

Cardiac Computed Tomography & Angiography (CCTA)

JM · Effective Oct 1, 2015

LCD · FIRST_COAST-L38396

Cardiology Non-emergent Outpatient Stress Testing

Commercial payer policies listing Z94.1

16 policies from 4 payers

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

Aetna

Aetna policies listing Z94.1, with the code’s status in each
Policy	Effective	Status of Z94.1
Cardiac Computed Tomography (CT), Coronary CT Angiography, Calcium Scoring and CT Fractional Flow ReservePayerPolicy · AETNA-CPB-0228	Feb 9, 2024	Covered
Cardiac Rehabilitation: OutpatientPayerPolicy · AETNA-CPB-0021	Mar 11, 2024	Covered
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
Intensive Cardiac Rehabilitation ProgramsPayerPolicy · AETNA-CPB-0267	May 5, 2023	Covered
Magnetic Resonance Imaging of the Cardiovascular System - Cardiac MRIPayerPolicy · AETNA-CPB-0520

Policy	Effective	Status of Z94.1
Concert Genetic Testing: TransplantPayerPolicy · AMBETTER-CONCERT-GENETIC-TESTING-TRANSPLANT	Not recorded	Referenced
Holter MonitorsPayerPolicy · AMBETTER-CP-MP-113	Not recorded	Covered
Polymerase Chain Reaction Respiratory Viral Panel TestingPayerPolicy · AMBETTER-CP-MP-181	Not recorded	Covered
Pulmonary Function TestingPayerPolicy · AMBETTER-CP-MP-242	Not recorded	Covered
Ventricular Assist DevicesPayerPolicy · AMBETTER-CP-MP-46	Not recorded	Covered

Policy	Effective	Status of Z94.1
Flow CytometryPayerPolicy · CIGNA-0538	Sep 15, 2026	Covered
Transthoracic Echocardiography in AdultsPayerPolicy · CIGNA-0510	Sep 15, 2026	Covered