85379 Insurance Policy Changes

Brain Natriuretic Peptide Testing (CPB 0618, reviewed 2026-01-27)

Aetna has updated its Brain Natriuretic Peptide (BNP) testing policy (CPB 0618) to clarify covered and non-covered indications. BNP testing (CPT 83880) is covered only for specific heart failure-related indications, while serial measurements and most other uses are classified as experimental/investigational. Billing teams must verify medical necessity against the approved indications list before processing claims to avoid denials.