E08.39 coverage policies: Medicare and commercial payers

57 active Medicare policies list E08.39, and 1 commercial payer policy lists 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 E08.39

LCD · WPS-J5-L35490

Category III Codes

J5 · Effective Oct 1, 2015

LCD · WPS-J8-L35490

Category III Codes

J8 · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L33431

HbA1c

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L33431

HbA1c

JM · Effective Oct 1, 2015

LCD · CGS-J15-L38662

Implantable Continuous Glucose Monitors (I-CGM)

J15 · Effective Nov 2, 2020

LCD · FIRST_COAST-L38664

Implantable Continuous Glucose Monitors (I-CGM)

J9 · Effective Oct 11, 2020

LCD · NGS-J6-L38623

Implantable Continuous Glucose Monitors (I-CGM)

J6 · Effective Dec 1, 2020

LCD · NGS-JK-L38623

Implantable Continuous Glucose Monitors (I-CGM)

JK · Effective Dec 1, 2020

LCD · NORIDIAN-JE-L38657

Implantable Continuous Glucose Monitors (I-CGM)

JE · Effective Nov 2, 2020

LCD · NORIDIAN-JF-L38657

Implantable Continuous Glucose Monitors (I-CGM)

JF · Effective Nov 2, 2020

Commercial payer policies listing E08.39

1 policy from 1 payer

Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.

Aetna

Aetna policies listing E08.39, with the code’s status in each
Policy	Effective	Status of E08.39
Artificial Retina and Artificial IrisPayerPolicy · AETNA-CPB-0713	Oct 17, 2023	Covered