Billing and Coding: Topical HBO and Physician Related Service Billing and Coding Guidelines
National · Effective Oct 2, 2025
1 active Medicare policy lists 99199, and 29 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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National · Effective Oct 2, 2025
29 policies from 9 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 99199 |
|---|---|---|
| Electrical Impedance Scanning for Cancer Detection | Jul 1, 2026 | Not covered |
| Idiopathic Environmental Illness (IEI) | Apr 15, 2026 | Not covered |
| Ingestion Event Monitors | Jul 1, 2026 | Not covered |
| Intensive Programs for Pediatric Feeding Disorders | Apr 15, 2026 | Covered |
| Mobile Device-Based Health Management Applications | Oct 1, 2026 | Covered |
| Wearable Devices for Stress Relief and Management | Jan 6, 2026 |
| Not covered |
| Policy | Effective | Status of 99199 |
|---|---|---|
| Digital Therapeutic Products | Apr 1, 2026 | Covered |
| Digital Therapeutic Products for Attention Deficit Hyperactivity Disorder | Jan 1, 2026 | Covered |
| Digital Therapeutic Products for Chronic Low Back Pain | Jan 1, 2026 | Covered |
| Digital Therapeutic Products for Substance Use Disorders | Jan 1, 2026 | Covered |
| Hyperbaric Oxygen Therapy | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 99199 |
|---|---|---|
| Cigna Commercial Other Services Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Complementary and Alternative Medicine | Feb 15, 2026 | Not covered |
| COVID-19: In Vitro Diagnostic Testing | May 15, 2026 | Not covered |
| Policy | Effective | Status of 99199 |
|---|---|---|
| Digital Health Technologies for Attention Deficit/Hyperactivity Disorder | Dec 15, 2025 | Covered |
| Digital Health Technologies: Diagnostic Applications | Dec 15, 2025 | Covered |
| Digital Health Technologies: Therapeutic Applications | Dec 15, 2025 | Covered |
| Policy | Effective | Status of 99199 |
|---|---|---|
| Digital Health Technologies for Attention Deficit/Hyperactivity Disorder | Dec 15, 2025 | Covered |
| Digital Health Technologies: Diagnostic Applications | Dec 15, 2025 | Covered |
| Digital Health Technologies: Therapeutic Applications | Dec 15, 2025 | Covered |
| Policy | Effective | Status of 99199 |
|---|---|---|
| Digital Health Technologies for Attention Deficit/Hyperactivity Disorder | Dec 15, 2025 | Covered |
| Digital Health Technologies: Diagnostic Applications | Dec 15, 2025 | Covered |
| Digital Health Technologies: Therapeutic Applications | Dec 15, 2025 | Covered |
| Policy | Effective | Status of 99199 |
|---|---|---|
| Digital Health Technologies for Attention Deficit/Hyperactivity Disorder | Dec 15, 2025 | Covered |
| Digital Health Technologies: Diagnostic Applications | Dec 15, 2025 | Covered |
| Digital Health Technologies: Therapeutic Applications | Dec 15, 2025 | Covered |
| Policy | Effective | Status of 99199 |
|---|---|---|
| Home Births | May 30, 2023 | Covered |
| Policy | Effective | Status of 99199 |
|---|---|---|
| Fertility Preservation | Not recorded | Covered |