A41.89 coverage policies: Medicare and commercial payers

42 active Medicare policies list A41.89, and 1 commercial payer policy lists 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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Medicare policies listing A41.89

LCD · PALMETTO-JJ-L33459

Computerized Axial Tomography (CT), Thorax

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L33459

Computerized Axial Tomography (CT), Thorax

JM · Effective Oct 1, 2015

LCD · NORIDIAN-JE-L34213

Diagnostic and Therapeutic Colonoscopy

JE · Effective Oct 1, 2015

LCD · NORIDIAN-JF-L34213

Diagnostic and Therapeutic Colonoscopy

JF · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L37379

Echocardiography

JJ · Effective Sep 18, 2017

LCD · PALMETTO-JM-L37379

Echocardiography

JM · Effective Sep 18, 2017

LCD · NORIDIAN-JE-L34315

Electrocardiograms

JE · Effective Oct 1, 2015

LCD · NORIDIAN-JF-L34315

Electrocardiograms

JF · Effective Oct 1, 2015

LCD · CGS-J15-L39038

MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

J15 · Effective Apr 17, 2022

LCD · NORIDIAN-JE-L39001

MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

Commercial payer policies listing A41.89

1 policy from 1 payer

Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.

Ambetter

Ambetter policies listing A41.89, with the code’s status in each
Policy	Effective	Status of A41.89
Polymerase Chain Reaction Respiratory Viral Panel TestingPayerPolicy · AMBETTER-CP-MP-181	Not recorded	Covered