C26.9 coverage policies: Medicare and commercial payers

111 active Medicare policies list C26.9, 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 C26.9

Showing 100 of 111

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 · WPS-J5-L34614

Colonoscopy and Sigmoidoscopy-Diagnostic

J5 · Effective Oct 1, 2015

LCD · WPS-J8-L34614

Colonoscopy and Sigmoidoscopy-Diagnostic

J8 · 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-L34415

CT of the Abdomen and Pelvis

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L34415

CT of the Abdomen and Pelvis

JM · Effective Oct 1, 2015

LCD · FIRST_COAST-L33583

Diagnostic and Therapeutic Esophagogastroduodenoscopy

J9 · Effective Oct 1, 2015

LCD · CGS-J15-L34356

Erythropoiesis Stimulating Agents (ESA)

Commercial payer policies listing C26.9

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 C26.9, with the code’s status in each
Policy	Effective	Status of C26.9
Exhaled Breath TestsPayerPolicy · AETNA-CPB-0691	Sep 15, 2023	Covered
In Vivo Analysis of Gastro-Intestinal and Urothelial LesionsPayerPolicy · AETNA-CPB-0783	Oct 17, 2023	Covered

Anthem

Anthem policies listing C26.9, with the code’s status in each
Policy	Effective	Status of C26.9
Vitamin D TestingClinical Guideline · ANTHEM-CG-LAB-11	Oct 1, 2026	Covered

Cigna

Cigna policies listing C26.9, with the code’s status in each
Policy	Effective	Status of C26.9
Low-Level Laser and High-Power Laser Therapy