C46.0 coverage policies: Medicare and commercial payers

79 active Medicare policies list C46.0, 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 C46.0

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 · FIRST_COAST-L33813

Destruction of Malignant Skin Lesions

J9 · 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

J6 · Effective Jul 15, 2026

LCD · NGS-JK-L40333

Erythropoiesis Stimulating Agents

Commercial payer policies listing C46.0

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 C46.0, with the code’s status in each
Policy	Effective	Status of C46.0
Bevacizumab for Non-Ocular IndicationsPayerPolicy · AETNA-CPB-0685	Feb 20, 2024	Covered
Polymerase Chain Reaction Testing: Selected IndicationsPayerPolicy · AETNA-CPB-0650	Feb 9, 2024	Covered

Ambetter

Ambetter policies listing C46.0, with the code’s status in each
Policy	Effective	Status of C46.0
Polymerase Chain Reaction Respiratory Viral Panel TestingPayerPolicy · AMBETTER-CP-MP-181	Not recorded	Covered

Cigna

Cigna policies listing C46.0, with the code’s status in each
Policy	Effective	Status of C46.0