C09.9 coverage policies: Medicare and commercial payers

100 active Medicare policies list C09.9, and 2 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 C09.9

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 · 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 · FIRST_COAST-L33818

Excision of Malignant Skin Lesions

J9 · Effective Oct 1, 2015

LCD · NGS-J6-L37810

Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms

J6 · Effective Apr 1, 2019

LCD · NGS-JK-L37810

Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms

JK · Effective Apr 1, 2019

LCD · PALMETTO-JJ-L33461

Implantable Infusion Pump

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L33461

Implantable Infusion Pump

JM · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L34425

Commercial payer policies listing C09.9

2 policies from 2 payers

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

Anthem

Anthem policies listing C09.9, with the code’s status in each
Policy	Effective	Status of C09.9
Tonsillectomy with or without Adenoidectomy for AdultsClinical Guideline · ANTHEM-CG-SURG-113	Oct 1, 2026	Covered

Cigna

Cigna policies listing C09.9, with the code’s status in each
Policy	Effective	Status of C09.9
Low-Level Laser and High-Power Laser TherapyPayerPolicy · CIGNA-CPG030	Mar 15, 2026	Covered