F13.27 coverage policies: Medicare and commercial payers

45 active Medicare policies list F13.27, and 1 commercial payer policy lists 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 F13.27

LCD · PALMETTO-JJ-L39266

Cognitive Assessment and Care Plan Service

JJ · Effective Aug 28, 2022

LCD · PALMETTO-JM-L39266

Cognitive Assessment and Care Plan Service

JM · Effective Aug 28, 2022

LCD · NOVITAS-JH-L35006

Controlled Substance Monitoring and Drugs of Abuse Testing

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35006

Controlled Substance Monitoring and Drugs of Abuse Testing

JL · Effective Oct 1, 2015

LCD · NGS-J6-L35074

Heavy Metal Testing

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L35074

Heavy Metal Testing

JK · 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 · PALMETTO-JJ-L39849

Opioid Treatment Programs

JJ · Effective Oct 20, 2024

LCD · PALMETTO-JM-L39849

Opioid Treatment Programs

Commercial payer policies listing F13.27

1 policy from 1 payer

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

Aetna

Aetna policies listing F13.27, with the code’s status in each
Policy	Effective	Status of F13.27
Multiple Sleep Latency Test (MSLT) and Maintenance of Wakefulness Test (MWT)PayerPolicy · AETNA-CPB-0330	May 2, 2023	Covered