3 commercial payer policies list F03.91. 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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3 policies from 1 payer
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of F03.91 |
|---|---|---|
| Helicobacter Pylori Infection Testing | Mar 28, 2023 | Covered |
| Infrared Therapy | Sep 8, 2023 | Covered |
| Multiple Sleep Latency Test (MSLT) and Maintenance of Wakefulness Test (MWT) | May 2, 2023 | Covered |