Code intelligence

0042T reimbursement alerts

Policy changes, MAC LCD updates, and CMS guidance matched to code 0042T.

Elevated code risk

Signal breakdown

2 shown · 2 total in platform

Risk: Elevated
0

Critical

0%

1

High

50%

1

Routine

50%

0

Low

0%

New this month

alerts added in last 30 days

Effective soon

no upcoming deadlines

LCD L38700: Computed Tomography Cerebral Perfusion Analysis (CTP) — Noridian

Policy LCD-L38700 · Neurology

High

CTP analysis requires billing team review.

LCD L38667: Computed Tomography Cerebral Perfusion Analysis (CTP) — Wellpoint Federal

Policy LCD-L38667 · Radiology

Routine

Final LCD sets CTP coverage rules for Part A & B under Wellpoint Federal.

Audit documentation

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