Download BNP Test (CPT 83880)

BNP Test (CPT 83880) 2016
One of the below diagnosis must be present to support medical necessity for B-Type Natriuretic Peptide
(BNP) Testing.
I-10 Code
I11.0
I13.0
I13.2
I42.0
I42.5
I42.8
I50.1
I50.21
I50.22
I50.23
I50.31
I50.32
I50.33
I50.41
I50.42
I50.43
J44.0
J44.1
J45.901
J98.01
R06.00
R06.01
R06.02
R06.09
R06.2
R06.82
Description
HTN Heart disease with heart failure
HTN heart and chronic kidney disease with heart failure and stage 1 – stage 4 chronic
kidney disease, or unspecified chronic kidney disease
HTN heart and chronic kidney disease with heart failure and with stage 5 chronic
kidney disease, or end stage renal disease
Dilate cardiomyopathy
Other restrictive cardiomyopathy
Other cardiomyopathies
Left ventricular failure
Acute systolic (congestive) heart failure
Chronic systolic (congestive) heart failure
Acute on chronic systolic (congestive) heart failure
Acute diastolic (congestive) heart failure
Chronic diastolic (congestive) heart failure
Acute on chronic diastolic (congestive) heart failure
Acute combined systolic (congestive) and diastolic (congestive) heart failure
Chronic combined systolic (congestive) and diastolic (congestive) heart failure
Acute on chronic combined systolic (congestive) and diastolic (congestive) heart
failure
COPD with lower respiratory infection
COPD with acute exacerbation
Unspecified asthma with (acute) exacerbation
Acute bronchospasm
Dyspnea
Orthopnea
SOB
Other form of dyspnea
Wheezing
Tachypnea
LCD L34038
LCD Rev’d 10/1/2015
NVH HIM
https://med.noridianmedicare.com/documents/10534/5321625/Local+Coverage+Determination+for+Btype+Natriuretic+Peptide+%28BNP%29%20Testing+%28L34038%29