E11.69 coverage policies: Medicare and commercial payers

77 active Medicare policies list E11.69, and 3 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 E11.69

LCD · NOVITAS-JH-L35022

Bariatric Surgical Management of Morbid Obesity

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35022

Bariatric Surgical Management of Morbid Obesity

JL · Effective Oct 1, 2015

LCD · NORIDIAN-JE-L34324

Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography

JE · Effective Oct 1, 2015

LCD · NORIDIAN-JF-L34324

Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography

JF · Effective Oct 1, 2015

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-L37379

Echocardiography

JJ · Effective Sep 18, 2017

LCD · PALMETTO-JM-L37379

Echocardiography

JM · Effective Sep 18, 2017

LCD · PALMETTO-JJ-L33431

HbA1c

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L33431

HbA1c

Commercial payer policies listing E11.69

3 policies from 2 payers

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

Aetna

Aetna policies listing E11.69, with the code’s status in each
Policy	Effective	Status of E11.69
Bio-Surgery: Medicinal Leech Therapy and Medical MaggotsPayerPolicy · AETNA-CPB-0556	Aug 10, 2023	Covered
Wound Imaging and Noninvasive Wound TherapyPayerPolicy · AETNA-CPB-0372	Jun 6, 2023	Covered

Ambetter

Ambetter policies listing E11.69, with the code’s status in each
Policy	Effective	Status of E11.69
Urodynamic Testing (CP.MP.98)PayerPolicy · AMBETTER-CP-MP-98	Not recorded	Covered