11 commercial payer policies list 64912. 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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11 policies from 7 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 64912 |
|---|---|---|
| Autologous Skeletal Myoblast/Mononuclear Bone Marrow Cell Transplantation | Aug 30, 2023 | Covered |
| Nerve Grafting and Reconstruction: Selected Indications | Jan 9, 2024 | Covered |
| Skin and Soft Tissue Substitutes | Feb 9, 2024 | Covered |
| Policy | Effective | Status of 64912 |
|---|---|---|
| Breast Reconstruction Following Mastectomy or Lumpectomy | Apr 15, 2026 | Not covered |
| Cigna Commercial Joint Surgery Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List |
| Mar 7, 2026 |
| Prior auth required |
| Policy | Effective | Status of 64912 |
|---|---|---|
| Nerve Graft with Radical Prostatectomy | May 1, 2026 | Covered |
| Policy | Effective | Status of 64912 |
|---|---|---|
| Nerve Graft with Radical Prostatectomy | May 1, 2026 | Covered |
| Policy | Effective | Status of 64912 |
|---|---|---|
| Nerve Graft with Radical Prostatectomy | May 1, 2026 | Covered |
| Policy | Effective | Status of 64912 |
|---|---|---|
| Nerve Graft with Radical Prostatectomy | May 1, 2026 | Covered |
| Policy | Effective | Status of 64912 |
|---|---|---|
| Nerve Graft with Radical Prostatectomy | Nov 1, 2025 | Covered |