Category III Codes
J5 · Effective Oct 1, 2015
44 active Medicare policies list E09.9, 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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J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
J15 · Effective Nov 2, 2020
J9 · Effective Oct 11, 2020
J6 · Effective Dec 1, 2020
JK · Effective Dec 1, 2020
JE · Effective Nov 2, 2020
JF · Effective Nov 2, 2020
JH · Effective Oct 11, 2020
4 policies from 1 payer
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of E09.9 |
|---|---|---|
| Automated Insulin Delivery Systems | Apr 15, 2026 | Covered |
| Hematopoietic Stem Cell Transplantation for Diabetes Mellitus | Jan 6, 2026 | Not covered |
| Retinal Telescreening Systems | Apr 15, 2026 | Covered |
| Therapeutic Shoes, Inserts, or Modifications for Individuals with Diabetes | Jan 6, 2026 | Covered |
JL · Effective Oct 11, 2020
JJ · Effective Apr 18, 2021
JM · Effective Apr 18, 2021
J5 · Effective Oct 11, 2020
J8 · Effective Oct 11, 2020
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J15 · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
JJ · Effective Jan 29, 2018
JM · Effective Jan 29, 2018
JE · Effective Mar 13, 2017
JF · Effective Mar 13, 2017
National · Effective Jan 1, 2026
J5 · Effective Oct 1, 2025
JL · Effective Sep 10, 2026
J6 · Effective Sep 10, 2026
National · Effective Oct 1, 2026
National · Effective Sep 10, 2026
J9 · Effective Sep 10, 2026
J5 · Effective Sep 10, 2026
National · Effective Sep 10, 2026
National · Effective Oct 1, 2025
J6 · Effective Apr 1, 2026
National · Effective Jun 4, 2026
JL · Effective Oct 1, 2025
National · Effective Nov 1, 2025
National · Effective Nov 6, 2025
National · Effective Oct 1, 2026
National · Effective Jan 25, 2026
National · Effective Feb 18, 2025
National · Effective Dec 5, 2024