C11.9 coverage policies: Medicare and commercial payers

97 active Medicare policies list C11.9, and 8 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.

Get free alerts for C11.9

Free account. Policy pages stay open to everyone.

Medicare policies listing C11.9

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 · CGS-J15-L34356

Erythropoiesis Stimulating Agents (ESA)

J15 · Effective Oct 1, 2015

LCD · CGS-J15-L40386

Erythropoiesis Stimulating Agents (ESA)

J15

LCD · FIRST_COAST-L33818

Excision of Malignant Skin Lesions

J9 · Effective Oct 1, 2015

LCD · CGS-J15-L34037

Flow Cytometry

J15 · 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

Commercial payer policies listing C11.9

8 policies from 2 payers

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

Aetna

Aetna policies listing C11.9, with the code’s status in each
Policy	Effective	Status of C11.9
Aldesleukin (Proleukin)PayerPolicy · AETNA-CPB-0024	Sep 21, 2023	Covered
BrachytherapyPayerPolicy · AETNA-CPB-0371	Jun 6, 2023	Covered
Carbogen Inhalation TherapyPayerPolicy · AETNA-CPB-0428	Jun 8, 2023	Covered
Microwave ThermotherapyPayerPolicy · AETNA-CPB-0682	Sep 19, 2023	Covered
Myringotomy and Tympanostomy TubePayerPolicy · AETNA-CPB-0418	Jun 7, 2023	Covered
Proton Beam, Neutron Beam, and Carbon Ion RadiotherapyPayerPolicy · AETNA-CPB-0270	Oct 3, 2023	Covered