Lumbar MRI
JE · Effective Oct 1, 2015
17 active Medicare policies list A80.4, 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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JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
J15 · Effective Apr 17, 2022
JE · Effective Apr 17, 2022
JF · Effective Apr 17, 2022
JJ · Effective Apr 17, 2022
JM · Effective Apr 17, 2022
J5 · Effective Apr 17, 2022
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 A80.4 |
|---|---|---|
| Airway Clearance Devices | Mar 1, 2026 | Covered |
J8 · Effective Apr 17, 2022
JE · Effective Oct 8, 2018
JF · Effective Oct 8, 2018
National · Effective Oct 23, 2025
National · Effective Mar 19, 2026
National · Effective Mar 19, 2026
National · Effective Apr 16, 2026
J5 · Effective Mar 12, 2026
National · Effective Oct 23, 2025