E85.0 coverage policies: Medicare and commercial payers

58 active Medicare policies list E85.0, and 7 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 E85.0

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 · FIRST_COAST-L33609

Autonomic Function Tests

J9 · 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 · PALMETTO-JJ-L33459

Computerized Axial Tomography (CT), Thorax

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L33459

Computerized Axial Tomography (CT), Thorax

JM · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L34415

CT of the Abdomen and Pelvis

JJ · Effective Oct 1, 2015

Commercial payer policies listing E85.0

7 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 E85.0, with the code’s status in each
Policy	Effective	Status of E85.0
Adoptive Immunotherapy and Cellular TherapyPayerPolicy · AETNA-CPB-0641	Sep 13, 2023	Covered
Autonomic Testing / Sudomotor TestsPayerPolicy · AETNA-CPB-0485	Jul 13, 2023	Covered
Bortezomib ProductsPayerPolicy · AETNA-CPB-0675	Feb 2, 2024	Covered
Heart TransplantationPayerPolicy · AETNA-CPB-0586	Aug 30, 2023	Covered
Hematopoietic Cell Transplantation for Multiple MyelomaPayerPolicy · AETNA-CPB-0497	Dec 13, 2023	Covered
Nerve Fiber Density MeasurementPayerPolicy · AETNA-CPB-0774	Oct 11, 2023	Covered