E09.37X1 coverage policies: Medicare and commercial payers

93 active Medicare policies list E09.37X1, and 5 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 E09.37X1

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 · WPS-J5-L39905

Cataract Surgery

J5 · Effective Oct 13, 2024

LCD · WPS-J8-L39905

Cataract Surgery

J8 · Effective Oct 13, 2024

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)

Commercial payer policies listing E09.37X1

5 policies from 1 payer

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

Ambetter

Ambetter policies listing E09.37X1, with the code’s status in each
Policy	Effective	Status of E09.37X1
Extended OphthalmoscopyPayerPolicy · AMBETTER-CP-VP-26	Not recorded	Covered
Fluorescein AngiographyPayerPolicy · AMBETTER-CP-VP-28	Not recorded	Covered
Fundus PhotographyPayerPolicy · AMBETTER-CP-VP-29	Not recorded	Covered
GonioscopyPayerPolicy · AMBETTER-CP-VP-31	Not recorded	Covered
Visual Field TestingPayerPolicy · AMBETTER-CP-VP-63	Not recorded	Covered