F07.0 coverage policies: Medicare and commercial payers

30 active Medicare policies list F07.0, and 4 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 F07.0

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 · 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 · CGS-J15-L34353

Outpatient Psychiatry and Psychology Services

J15 · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L39853

Outpatient Psychotherapy

JJ · Effective Oct 20, 2024

LCD · PALMETTO-JM-L39853

Outpatient Psychotherapy

JM · Effective Oct 20, 2024

LCD · NOVITAS-JH-L35101

Psychiatric Codes

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35101

Psychiatric Codes

JL · Effective Oct 1, 2015

LCD · FIRST_COAST-L33252

Psychiatric Diagnostic Evaluation and Psychotherapy Services

J9 · Effective Oct 1, 2015

Commercial payer policies listing F07.0

4 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 F07.0, with the code’s status in each
Policy	Effective	Status of F07.0
Alzheimer's Disease TestsPayerPolicy · AETNA-CPB-0349	Sep 8, 2023	Covered
Cognitive RehabilitationPayerPolicy · AETNA-CPB-0214	Feb 9, 2024	Covered
Neuropsychological and Psychological TestingPayerPolicy · AETNA-CPB-0158	Apr 6, 2023	Covered
Positron Emission Tomography (PET)PayerPolicy · AETNA-CPB-0071	Sep 21, 2023	Covered