UHC Commercial – Cardiovascular Disease Risk Tests – Policy Number: 2022T0389V

Summary of Changes – 6/1/2022

Coverage Rationale:
Added language to indicate multi-protein diagnostic biomarkers, such as 3-proteins [high sensitivity (HS) troponin, adiponectin, and kidney injury molecule-1 (KIM-1)] or 4-proteins [NT-proBNP, osteopontin, tissue inhibitor of metalloproteinase-1 (TIMP-1), and KIM-1] with algorithm and reported as a risk score, are unproven and not medically necessary.

Applicable Codes Added: CPT codes 0308U and 0309U.

 

Source: https://www.uhcprovider.com/content/dam/provider/docs/public/policies/index/commercial/cardiovascular-disease-risk-tests-06012022.pdf