E08.621 coverage policies: Medicare and commercial payers

49 active Medicare policies list E08.621, 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 E08.621

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 · 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

LCD · NOVITAS-JH-L38617

Implantable Continuous Glucose Monitors (I-CGM)

JH · Effective Oct 11, 2020

LCD · NOVITAS-JL-L38617

Implantable Continuous Glucose Monitors (I-CGM)

Commercial payer policies listing E08.621

4 policies from 1 payer

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

Aetna

Aetna policies listing E08.621, with the code’s status in each
Policy	Effective	Status of E08.621
Blood and Adipose Tissue Derived Products for Selected IndicationsPayerPolicy · AETNA-CPB-0784	Oct 26, 2023	Covered
IontophoresisPayerPolicy · AETNA-CPB-0229	Apr 26, 2023	Covered
Laser Treatment for Psoriasis and Other Selected Skin ConditionsPayerPolicy · AETNA-CPB-0577	Aug 11, 2023	Covered
Skin and Soft Tissue SubstitutesPayerPolicy · AETNA-CPB-0244	Feb 9, 2024	Covered