D22.0 coverage policies: Medicare and commercial payers

44 active Medicare policies list D22.0, and 3 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 D22.0

LCD · NORIDIAN-JE-L34233

Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)

JE · Effective Oct 1, 2015

LCD · NORIDIAN-JF-L34233

Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)

JF · 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-L33428

Cosmetic and Reconstructive Surgery

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L33428

Cosmetic and Reconstructive Surgery

JM · Effective Oct 1, 2015

LCD · CGS-J15-L34037

Flow Cytometry

J15 · Effective Oct 1, 2015

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 · CGS-J15-L39389

MolDX: Molecular Assays for the Diagnosis of Cutaneous Melanoma

Commercial payer policies listing D22.0

3 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 D22.0, with the code’s status in each
Policy	Effective	Status of D22.0
Benign Skin Lesion RemovalPayerPolicy · AETNA-CPB-0633	Sep 13, 2023	Covered

Ambetter

Ambetter policies listing D22.0, with the code’s status in each
Policy	Effective	Status of D22.0
Concert Genetic Testing Oncology: Algorithmic AssaysPayerPolicy · AMBETTER-CONCERT-GENETIC-TESTING-ONCOLOGY-ALGORITHMIC-ASSAYS	Not recorded	Referenced

Anthem

Anthem policies listing D22.0, with the code’s status in each
Policy	Effective	Status of D22.0
Cosmetic and Reconstructive Services: Skin RelatedPayerPolicy · ANTHEM-ANC.00007	Jan 6, 2026	Covered