Endoscopic Treatment of GERD
J5 · Effective Oct 1, 2015
9 active Medicare policies list 43499, and 14 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J5 · Effective Oct 1, 2023
J6 · Effective Oct 1, 2020
National · Effective Oct 1, 2025
14 policies from 11 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 43499 |
|---|---|---|
| Cigna Commercial Other Services Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Policy | Effective | Status of 43499 |
|---|---|---|
| Gastrointestinal Disorders Diagnostic Procedures | Jun 1, 2026 | Covered |
| Minimally Invasive Procedures for the Treatment of Upper Gastrointestinal Diseases |
| Aug 1, 2026 |
| Covered |
| Policy | Effective | Status of 43499 |
|---|---|---|
| Gastrointestinal Disorders Diagnostic Procedures | Jun 1, 2026 | Covered |
| Minimally Invasive Procedures for the Treatment of Upper Gastrointestinal Diseases | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 43499 |
|---|---|---|
| Device Therapies for Gastroesophageal Reflux Disease (GERD) | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43499 |
|---|---|---|
| Device Therapies for Gastroesophageal Reflux Disease (GERD) | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43499 |
|---|---|---|
| Device Therapies for Gastroesophageal Reflux Disease (GERD) | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43499 |
|---|---|---|
| Device Therapies for Gastroesophageal Reflux Disease (GERD) | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43499 |
|---|---|---|
| Radiation Therapy Excludes Proton | Apr 4, 2026 | Covered |
| Policy | Effective | Status of 43499 |
|---|---|---|
| Peroral Endoscopic Myotomy for Treatment of Esophageal Achalasia | Oct 1, 2025 | Covered |
| Policy | Effective | Status of 43499 |
|---|---|---|
| Gastrointestinal Disorders Diagnostic Procedures – Surest Medical Policy | Jun 1, 2026 | Covered |
| Policy | Effective | Status of 43499 |
|---|---|---|
| Gastroesophageal and Gastrointestinal (GI) Services and Procedures | Not recorded | Covered |