E13.42 coverage policies: Medicare and commercial payers

110 active Medicare policies list E13.42, and 2 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 E13.42

Showing 100 of 110

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 · WPS-J5-L35124

Autonomic Function Testing

J5 · Effective Oct 1, 2015

LCD · WPS-J8-L35124

Autonomic Function Testing

J8 · Effective Oct 1, 2015

LCD · NOVITAS-JH-L35395

Autonomic Function Tests

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35395

Autonomic Function Tests

JL · 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

Commercial payer policies listing E13.42

2 policies from 1 payer

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

Aetna

Aetna policies listing E13.42, with the code’s status in each
Policy	Effective	Status of E13.42
Gastric Pacing / Electrical Stimulation and Gastroesophageal Per Oral Endoscopic MyotomyPayerPolicy · AETNA-CPB-0678	Sep 25, 2023	Covered
Orthopedic Casts, Braces and SplintsPayerPolicy · AETNA-CPB-0009	Mar 15, 2024	Covered