D44.4 coverage policies: Medicare and commercial payers

76 active Medicare policies list D44.4, 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 D44.4

LCD · FIRST_COAST-L36767

Aortography and peripheral angiography

J9 · Effective Oct 31, 2016

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-L34417

CT of the Head

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L34417

CT of the Head

JM · 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 D44.4

4 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 D44.4, with the code’s status in each
Policy	Effective	Status of D44.4
InfertilityPayerPolicy · AETNA-CPB-0327	Feb 15, 2024	Covered
Myringotomy and Tympanostomy TubePayerPolicy · AETNA-CPB-0418	Jun 7, 2023	Covered

Ambetter

Ambetter policies listing D44.4, with the code’s status in each
Policy	Effective	Status of D44.4
Evoked Potential TestingPayerPolicy · AMBETTER-CP-MP-134	Not recorded	Covered
Visual Field TestingPayerPolicy · AMBETTER-CP-VP-63	Not recorded	Covered