D14.0 coverage policies: Medicare and commercial payers

38 active Medicare policies list D14.0, and 5 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 D14.0

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 · CGS-J15-L39506

Cosmetic and Reconstructive Surgery

J15 · Effective May 28, 2023

LCD · FIRST_COAST-L38914

Cosmetic and Reconstructive Surgery

J9 · Effective Jul 11, 2021

LCD · NOVITAS-JH-L35090

Cosmetic and Reconstructive Surgery

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35090

Cosmetic and Reconstructive Surgery

JL · 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 · WPS-J5-L39051

Cosmetic and Reconstructive Surgery

J5 · Effective Nov 14, 2021

LCD · WPS-J8-L39051

Cosmetic and Reconstructive Surgery

Commercial payer policies listing D14.0

5 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 D14.0, with the code’s status in each
Policy	Effective	Status of D14.0
External Ocular PhotographyPayerPolicy · AETNA-CPB-0734	Sep 22, 2023	Covered
Intraoperative Neurophysiological MonitoringPayerPolicy · AETNA-CPB-0697	Oct 26, 2023	Covered
Septoplasty and RhinoplastyPayerPolicy · AETNA-CPB-0005	Mar 14, 2023	Covered

Ambetter

Ambetter policies listing D14.0, with the code’s status in each
Policy	Effective	Status of D14.0
Evoked Potential TestingPayerPolicy · AMBETTER-CP-MP-134	Not recorded	Covered

Anthem