Policy library / 0804T Commercial payer policies listing 0804T 7 policies from 6 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Carelon Medical Benefits Management policies listing 0804T, with the code’s status in each Policy Effective Status of 0804T Cardiac Implantable Electronic Devices Clinical Guideline · CARELON-CARDIAC-IMPLANTABLE-ELECTRONIC-DEVICES Not recorded Covered Permanent Implantable Pacemakers Clinical Guideline · CARELON-PERMANENT-IMPLANTABLE-PACEMAKERS Not recorded Covered
BCBS Illinois policies listing 0804T, with the code’s status in each Policy Effective Status of 0804T Leadless Cardiac Pacemakers PayerPolicy · BCBSIL-SUR707.030 Nov 1, 2025 Covered
BCBS Montana policies listing 0804T, with the code’s status in each Policy Effective Status of 0804T Leadless Cardiac Pacemakers PayerPolicy · BCBSMT-SUR707.030 Nov 1, 2025 Covered
BCBS New Mexico policies listing 0804T, with the code’s status in each Policy Effective Status of 0804T Leadless Cardiac Pacemakers PayerPolicy · BCBSNM-SUR707.030 Nov 1, 2025 Covered
BCBS Oklahoma policies listing 0804T, with the code’s status in each Policy Effective Status of 0804T Leadless Cardiac Pacemakers PayerPolicy · BCBSOK-SUR707.030 Nov 1, 2025 Covered