E13.40 coverage policies: Medicare and commercial payers

93 active Medicare policies list E13.40, and 12 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 E13.40

LCD · NGS-J6-L36236

Autonomic Function Testing

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L36236

Autonomic Function Testing

JK · Effective Oct 1, 2015

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 · PALMETTO-JJ-L33457

Cardiac Radionuclide Imaging

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L33457

Cardiac Radionuclide Imaging

JM · 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

Commercial payer policies listing E13.40

12 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 E13.40, with the code’s status in each
Policy	Effective	Status of E13.40
Autonomic Testing / Sudomotor TestsPayerPolicy · AETNA-CPB-0485	Jul 13, 2023	Covered
Diabetic Neuropathy: Selected TreatmentsPayerPolicy · AETNA-CPB-0729	Feb 20, 2024	Covered
Nerve Fiber Density MeasurementPayerPolicy · AETNA-CPB-0774	Oct 11, 2023	Covered
Orthopedic Casts, Braces and SplintsPayerPolicy · AETNA-CPB-0009	Mar 15, 2024	Covered
PedobarographyPayerPolicy · AETNA-CPB-0294	Apr 27, 2023	Covered
Pulsed Electromagnetic StimulationPayerPolicy · AETNA-CPB-0175	Mar 14, 2023	Covered

Policy	Effective	Status of E13.40
Laboratory Evaluation of Vitamin B12Clinical Guideline · ANTHEM-CG-LAB-19	Jan 6, 2026	Covered
Peripheral Nerve Blocks for Treatment of Neuropathic PainPayerPolicy · ANTHEM-SURG.00140	Apr 15, 2026	Not covered
Skin Nerve Fiber Density TestingClinical Guideline · ANTHEM-CG-LAB-13	Jan 6, 2026	Covered