11 commercial payer policies list E0691. 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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11 policies from 9 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of E0691 |
|---|---|---|
| Phototherapy for Acne | Sep 14, 2023 | Covered |
| Premenstrual Syndrome and Premenstrual Dysphoric Disorder | Nov 3, 2023 | Covered |
| Vitiligo | Feb 16, 2024 | Covered |
| Policy | Effective | Status of E0691 |
|---|---|---|
| Durable Medical Equipment and Orthotics and Prosthetics Guidelines | Not recorded | Covered |
| Policy | Effective | Status of E0691 |
|---|
| Ultraviolet Light Therapy Delivery Devices for Home Use | Oct 1, 2026 | Covered |
|---|
| Policy | Effective | Status of E0691 |
|---|---|---|
| Durable Medical Equipment (DME) Reference List | Sep 15, 2026 | Covered |
| Policy | Effective | Status of E0691 |
|---|---|---|
| Durable Medical Equipment (DME) Reference List | Sep 15, 2026 | Covered |
| Policy | Effective | Status of E0691 |
|---|---|---|
| Durable Medical Equipment (DME) Reference List | Sep 15, 2026 | Covered |
| Policy | Effective | Status of E0691 |
|---|---|---|
| Durable Medical Equipment (DME) Reference List | Sep 15, 2026 | Covered |
| Policy | Effective | Status of E0691 |
|---|---|---|
| Cigna Medicare Advantage Durable Medical Equipment Code List | Jan 1, 2025 | Prior auth required |
| Policy | Effective | Status of E0691 |
|---|---|---|
| Targeted Phototherapy for the Treatment of Psoriasis | Mar 1, 2026 | Covered |