C01 coverage policies: Medicare and commercial payers

119 active Medicare policies list C01, and 6 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 C01

Showing 100 of 119

LCD · PALMETTO-JJ-L33457

Cardiac Radionuclide Imaging

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L33457

Cardiac Radionuclide Imaging

JM · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L33459

Computerized Axial Tomography (CT), Thorax

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L33459

Computerized Axial Tomography (CT), Thorax

JM · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L33428

Cosmetic and Reconstructive Surgery

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L33428

Cosmetic and Reconstructive Surgery

JM · Effective Oct 1, 2015

LCD · NGS-J6-L33394

Drugs and Biologicals, Coverage of, for Label and Off-Label Uses

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L33394

Drugs and Biologicals, Coverage of, for Label and Off-Label Uses

JK · Effective Oct 1, 2015

LCD · NGS-J6-L40333

Erythropoiesis Stimulating Agents

LCD · NGS-J6-L40334

Erythropoiesis Stimulating Agents

Commercial payer policies listing C01

6 policies from 1 payer

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

Aetna

Aetna policies listing C01, with the code’s status in each
Policy	Effective	Status of C01
BrachytherapyPayerPolicy · AETNA-CPB-0371	Jun 6, 2023	Covered
Carbogen Inhalation TherapyPayerPolicy · AETNA-CPB-0428	Jun 8, 2023	Covered
Mohs Micrographic SurgeryPayerPolicy · AETNA-CPB-0383	Jun 22, 2023	Covered
Pemetrexed ProductsPayerPolicy · AETNA-CPB-0687	Feb 20, 2024	Covered
Proton Beam, Neutron Beam, and Carbon Ion RadiotherapyPayerPolicy · AETNA-CPB-0270	Oct 3, 2023	Covered
Speech TherapyPayerPolicy · AETNA-CPB-0243	Oct 24, 2023	Covered