Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound
J9 · Effective Dec 1, 2024
5 active Medicare policies list A4100, and 8 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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J9 · Effective Dec 1, 2024
JH · Effective Dec 1, 2024
JL · Effective Dec 1, 2024
J9 · Effective Jan 1, 2026
JL · Effective Jan 1, 2026
8 policies from 8 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of A4100 |
|---|---|---|
| Skin and Soft Tissue Substitutes | Feb 9, 2024 | Covered |
| Policy | Effective | Status of A4100 |
|---|---|---|
| Products for Wound Healing and Soft Tissue Grafting: Medically Necessary Uses | Apr 1, 2025 | Covered |
| Policy | Effective | Status of A4100 |
|---|---|---|
| Bioengineered Skin and Soft Tissue Substitutes | Jul 1, 2026 | Covered |
| Policy | Effective | Status of A4100 |
|---|---|---|
| Bioengineered Skin and Soft Tissue Substitutes | Jul 1, 2026 | Covered |
| Policy | Effective | Status of A4100 |
|---|---|---|
| Bioengineered Skin and Soft Tissue Substitutes | Jul 1, 2026 | Covered |
| Policy | Effective | Status of A4100 |
|---|---|---|
| Bioengineered Skin and Soft Tissue Substitutes | Jul 1, 2026 | Covered |
| Policy | Effective | Status of A4100 |
|---|---|---|
| Skin and Soft Tissue Substitutes | Jun 1, 2026 | Covered |
| Policy | Effective | Status of A4100 |
|---|---|---|
| Skin and Soft Tissue Substitutes | Jun 1, 2026 | Covered |