E09.36 coverage policies: Medicare and commercial payers

80 active Medicare policies list E09.36, 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 E09.36

LCD · CGS-J15-L33954

Cataract Extraction

J15 · Effective Oct 1, 2015

LCD · NGS-J6-L33558

Cataract Extraction

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L33558

Cataract Extraction

JK · Effective Oct 1, 2015

LCD · FIRST_COAST-L38926

Cataract Extraction (including Complex Cataract Surgery)

J9 · Effective Jul 11, 2021

LCD · NOVITAS-JH-L35091

Cataract Extraction (including Complex Cataract Surgery)

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35091

Cataract Extraction (including Complex Cataract Surgery)

JL · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L34413

Cataract Surgery

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L34413

Cataract Surgery

JM · Effective Oct 1, 2015

LCD · WPS-J5-L39905

Cataract Surgery

J5 · Effective Oct 13, 2024

LCD · WPS-J8-L39905

Cataract Surgery

J8 · Effective Oct 13, 2024

Commercial payer policies listing E09.36

1 policy from 1 payer

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

Cigna

Cigna policies listing E09.36, with the code’s status in each
Policy	Effective	Status of E09.36
Intraocular Lens ImplantPayerPolicy · CIGNA-0125	Sep 15, 2026	Covered