F51.3 coverage policies: Medicare and commercial payers

40 active Medicare policies list F51.3, 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 F51.3

LCD · WPS-J5-L38528

Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea

J5 · Effective Jun 14, 2020

LCD · WPS-J8-L38528

Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea

J8 · Effective Jun 14, 2020

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-L35050

Outpatient Sleep Studies

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35050

Outpatient Sleep Studies

JL · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L36593

Polysomnography

JJ · Effective Jun 13, 2016

LCD · PALMETTO-JM-L36593

Polysomnography

JM · Effective Jun 13, 2016

LCD · NORIDIAN-JE-L36861

Polysomnography and Other Sleep Studies

Commercial payer policies listing F51.3

2 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 F51.3, with the code’s status in each
Policy	Effective	Status of F51.3
Complementary and Alternative MedicinePayerPolicy · AETNA-CPB-0388	Aug 10, 2023	Covered
Genetic TestingPayerPolicy · AETNA-CPB-0140	Feb 27, 2024	Covered