Facial Prostheses
National · Effective Jan 1, 2020
5 active Medicare policies list A4452, 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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National · Effective Jan 1, 2020
National · Effective Jan 1, 2024
National · Effective Jan 1, 2024
National · Effective Jan 1, 2024
National · Effective Apr 1, 2026
1 policy from 1 payer
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of A4452 |
|---|---|---|
| Surgical Devices, Dressings, and Wound Care Supplies | Jul 20, 2023 | Covered |