F44.5 coverage policies: Medicare and commercial payers

43 active Medicare policies list F44.5, 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 F44.5

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 · FIRST_COAST-L33583

Diagnostic and Therapeutic Esophagogastroduodenoscopy

J9 · Effective Oct 1, 2015

LCD · NGS-J6-L33399

EEG â Ambulatory Monitoring

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L33399

EEG â Ambulatory Monitoring

JK · Effective Oct 1, 2015

LCD · NOVITAS-JH-L34975

Neurophysiology Evoked Potentials (NEPs)

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L34975

Neurophysiology Evoked Potentials (NEPs)

JL · Effective Oct 1, 2015

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

Commercial payer policies listing F44.5

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 F44.5, with the code’s status in each
Policy	Effective	Status of F44.5
Attended Electroencephalographic (EEG) Video MonitoringPayerPolicy · AETNA-CPB-0322	Apr 28, 2023	Covered

Ambetter

Ambetter policies listing F44.5, with the code’s status in each
Policy	Effective	Status of F44.5
Visual Field TestingPayerPolicy · AMBETTER-CP-VP-63	Not recorded	Covered