5 commercial payer policies list A9901. 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.
Free account. Policy pages stay open to everyone.
5 policies from 5 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of A9901 |
|---|---|---|
| Durable Medical Equipment (DME) Reference List | Sep 15, 2026 | Covered |
| Policy | Effective | Status of A9901 |
|---|---|---|
| Durable Medical Equipment (DME) Reference List | Sep 15, 2026 | Covered |
| Policy | Effective | Status of A9901 |
|---|---|---|
| Durable Medical Equipment (DME) Reference List | Sep 15, 2026 | Covered |
| Policy | Effective | Status of A9901 |
|---|---|---|
| Durable Medical Equipment (DME) Reference List | Sep 15, 2026 | Covered |
| Policy | Effective | Status of A9901 |
|---|---|---|
| Cigna Medicare Advantage Durable Medical Equipment Code List | Jan 1, 2025 | Prior auth required |