10 commercial payer policies list 96004. 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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10 policies from 5 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 96004 |
|---|---|---|
| Chiropractic Services | Mar 23, 2023 | Covered |
| Computerized Motion Diagnostic Imaging | Jun 8, 2023 | Covered |
| Gait Analysis and Electrodynogram | May 4, 2023 | Covered |
| Obstructive Sleep Apnea in Children | Dec 13, 2023 | Covered |
| Pedobarography | Apr 27, 2023 | Covered |
| Surface Scanning and Macro Electromyography | Mar 22, 2023 | Covered |
| Policy | Effective | Status of 96004 |
|---|
| Gait Analysis | Jun 15, 2026 | Covered |
|---|
| Policy | Effective | Status of 96004 |
|---|---|---|
| Neurophysiologic Testing and Monitoring | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 96004 |
|---|---|---|
| Neurophysiologic Testing and Monitoring | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 96004 |
|---|---|---|
| Neurophysiologic Testing and Monitoring | Jan 1, 2026 | Covered |