D37.6 coverage policies: Medicare and commercial payers

53 active Medicare policies list D37.6, and 2 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 D37.6

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 · 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

LCD · NGS-JK-L40334

Erythropoiesis Stimulating Agents

JK · Effective Jul 15, 2026

LCD · PALMETTO-JJ-L39237

Erythropoiesis Stimulating Agents

JJ · Effective Jul 24, 2022

Commercial payer policies listing D37.6

2 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 D37.6, with the code’s status in each
Policy	Effective	Status of D37.6
Pancreaticoduodenectomy (Whipple Resection)PayerPolicy · AETNA-CPB-0365	Jun 5, 2023	Covered

Anthem

Anthem policies listing D37.6, with the code’s status in each
Policy	Effective	Status of D37.6
Outpatient Alpha-Fetoprotein TestingClinical Guideline · ANTHEM-CG-LAB-26	Apr 15, 2026	Covered