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

This policy provides billing and coding guidance for B-type Natriuretic Peptide (BNP) testing and requires that all claims be supported by legible medical record documentation demonstrating medical necessity. Specific covered indications, limitations, and any frequency limits are defined in the associated Local Coverage Determination (LCD); claims that do not meet the LCD documentation requirements may be denied.

"Coverage and billing guidance for BNP testing are limited to the clinical indications and restrictions specified in the associated Local Coverage Determination (LCD); refer to that LCD for specific..."

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