B91 coverage policies: Medicare and commercial payers

38 active Medicare policies list B91, and 4 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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Medicare policies listing B91

LCD · NORIDIAN-JE-L34220

Lumbar MRI

JE · Effective Oct 1, 2015

LCD · NORIDIAN-JF-L34220

Lumbar MRI

JF · Effective Oct 1, 2015

LCD · NORIDIAN-JE-L37373

MRI and CT Scans of the Head and Neck

JE · Effective Oct 8, 2018

LCD · NORIDIAN-JF-L37373

MRI and CT Scans of the Head and Neck

JF · Effective Oct 8, 2018

LCD · CGS-J15-L35897

Nerve Conduction Studies and Electromyography

J15 · Effective Oct 1, 2015

LCD · FIRST_COAST-L34859

Nerve Conduction Studies and Electromyography

J9 · Effective Oct 1, 2015

LCD · NGS-J6-L35098

Nerve Conduction Studies and Electromyography

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L35098

Nerve Conduction Studies and Electromyography

JK · Effective Oct 1, 2015

LCD · NORIDIAN-JE-L36524

Nerve Conduction Studies and Electromyography

JE · Effective Jun 1, 2016

LCD · NORIDIAN-JF-L36524

Nerve Conduction Studies and Electromyography

Commercial payer policies listing B91

4 policies from 3 payers

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

Aetna

Aetna policies listing B91, with the code’s status in each
Policy	Effective	Status of B91
Occupational TherapyPayerPolicy · AETNA-CPB-0250	Mar 29, 2023	Covered
Positive Pressure VentilationPayerPolicy · AETNA-CPB-0452	Feb 16, 2024	Covered

Ambetter

Ambetter policies listing B91, with the code’s status in each
Policy	Effective	Status of B91
Pulmonary Function TestingPayerPolicy · AMBETTER-CP-MP-242	Not recorded	Covered

UnitedHealthcare

UnitedHealthcare policies listing B91, with the code’s status in each
Policy	Effective	Status of B91
Airway Clearance Devices