LCDActive
B-type Natriuretic Peptide (BNP) Testing
L40037
Updated: December 31, 2025
Policy Summary
BNP and NT-proBNP testing is covered to help diagnose or exclude heart failure and to assess HF severity in patients presenting with acute dyspnea, and to predict long-term cardiac risk when measured within the first few days after an acute coronary event. Testing is not covered for monitoring or management of chronic/CHF or when used as part of cardiovascular risk assessment panels in asymptomatic patients (screening).
Coverage Criteria Preview
Key requirements from the full policy
"BNP or NT-proBNP testing is covered to help establish or exclude the diagnosis of heart failure when used in conjunction with other clinical information in patients presenting with acute dyspnea."
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