E22.1 coverage policies: Medicare and commercial payers

19 active Medicare policies list E22.1, 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 E22.1

LCD · FIRST_COAST-L36767

Aortography and peripheral angiography

J9 · Effective Oct 31, 2016

LCD · PALMETTO-JJ-L34417

CT of the Head

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L34417

CT of the Head

JM · Effective Oct 1, 2015

LCD · NOVITAS-JH-L35049

Monitored Anesthesia Care

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35049

Monitored Anesthesia Care

JL · Effective Oct 1, 2015

LCD · NORIDIAN-JE-L37373

MRI and CT Scans of the Head and Neck

JE · Effective Oct 8, 2018

LCD · NORIDIAN-JF-L37373

MRI and CT Scans of the Head and Neck

JF · Effective Oct 8, 2018

LCD · NOVITAS-JH-L35035

Thoracic Aortography and Carotid, Vertebral, and Subclavian Angiography

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35035

Thoracic Aortography and Carotid, Vertebral, and Subclavian Angiography

JL · Effective Oct 1, 2015

LCD · CGS-J15-L34394

Visual Fields Testing

Commercial payer policies listing E22.1

2 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 E22.1, with the code’s status in each
Policy	Effective	Status of E22.1
InfertilityPayerPolicy · AETNA-CPB-0327	Feb 15, 2024	Covered

Ambetter

Ambetter policies listing E22.1, with the code’s status in each
Policy	Effective	Status of E22.1
Visual Field TestingPayerPolicy · AMBETTER-CP-VP-63	Not recorded	Covered

E22.1 coverage policies: Medicare and commercial payers

Medicare policies listing E22.1

Aortography and peripheral angiography

CT of the Head

CT of the Head

Monitored Anesthesia Care

Monitored Anesthesia Care

MRI and CT Scans of the Head and Neck

MRI and CT Scans of the Head and Neck

Thoracic Aortography and Carotid, Vertebral, and Subclavian Angiography

Thoracic Aortography and Carotid, Vertebral, and Subclavian Angiography

Visual Fields Testing

Commercial payer policies listing E22.1

Aetna

Ambetter

E22.1 coverage policies: Medicare and commercial payers

Medicare policies listing E22.1

Aortography and peripheral angiography

CT of the Head

CT of the Head

Monitored Anesthesia Care

Monitored Anesthesia Care

MRI and CT Scans of the Head and Neck

MRI and CT Scans of the Head and Neck

Thoracic Aortography and Carotid, Vertebral, and Subclavian Angiography

Thoracic Aortography and Carotid, Vertebral, and Subclavian Angiography

Visual Fields Testing

Commercial payer policies listing E22.1

Aetna

Ambetter

Visual Fields Testing

Visual Fields Testing

Billing and Coding: Aortography and Peripheral Angiography

Billing and Coding: CT of the Head

Billing and Coding: Monitored Anesthesia Care

Billing and Coding: MRI and CT Scans of the Head and Neck

Billing and Coding: Thoracic Aortography and Carotid, Vertebral, and Subclavian Angiography

Billing and Coding: Visual Fields Testing

Billing and Coding: Visual Fields Testing