Local Coverage DeterminationCardiology

LCD L39883: Artificial Intelligence Enabled CT Based Quantitative Coronary Topography (AI-QCT )/Coronary Plaque Analysis (AI-CPA) — Noridian

LCD-L39883

Document details

Document type
Local Coverage Determination
Issuing body
MAC Contractor
Document ID
LCD-L39883
Published
June 5, 2026
Effective date
February 14, 2025
MAC region
Noridian

Summary

The introduction of AI-QCT and AI-CPA technology will enhance billing opportunities for cardiovascular imaging services. This may lead to increased reimbursement rates for advanced coronary plaque ana

New AI technology set to boost cardiology billing.

Affected codes

ICD-10-CM

Affected specialty

Cardiology alerts →

Source document

https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=39883&ver=9

CLV Intelligence summarizes publicly available federal publications. Not affiliated with or endorsed by any government agency.

Related alerts

4

FDA Approval: ELIQUIS (APIXABAN) — Type 1 - New Molecular Entity

Policy FDA-NDA202155 · Cardiology

High

Eliquis (apixaban) is an oral anticoagulant approved as a tablet (including a tablet for suspension formulation), which routes it through Medicare Part D for outpatient prescription coverage. As an or

View alert

FDA Approval: ELIQUIS (APIXABAN) — Type 3 - New Dosage Form

Policy FDA-NDA220073 · Cardiology

High

Eliquis (apixaban) has received approval for a new oral suspension dosage form under NDA220073, expanding access for patients unable to swallow tablets—likely pediatric or dysphagic populations. As an

View alert

FDA Approval: ARGATROBAN IN SODIUM CHLORIDE (ARGATROBAN) — Type 5 - New Formulation or New Manufacturer

Policy FDA-NDA022434 · Cardiology

High

Argatroban in sodium chloride is an injectable medication that will likely receive a J-code for billing purposes under Medicare Part B. As an intravenous drug, it may also qualify for pass-through pay

View alert

LCD L40255: Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices — Noridian

Policy LCD-L40255 (Notice Ends 06/20/2026) · Cardiology

High

This final LCD from Noridian (JE/JF) governs coverage of temporary nontherapeutic ambulatory cardiac monitoring devices across 15 western states, effective June 21, 2026. It defines coverage criteria

View alert