Billing and Coding: B-type Natriuretic Peptide (BNP) Testing

BNP testing coverage is determined by medical necessity as defined in the related LCD and requires documentation in the medical record (history, exam, diagnostic results) and appropriate ICD-10-CM diagnosis codes. Claims must include the referring/ordering physician name and NPI when required and comply with NCCI and OPPS billing rules; testing frequency is guided by clinical circumstances and evidence-based literature rather than fixed limits.

"BNP testing is covered when medical necessity is documented in the patient's record in accordance with the related Local Coverage Determination (LCD)."

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