Monitored Anesthesia Care
JH · Effective Oct 1, 2015
37 active Medicare policies list F84.0, and 23 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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JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
JE · Effective Oct 8, 2018
JF · Effective Oct 8, 2018
J15 · Effective Oct 1, 2015
J6 · Effective Jul 13, 2025
JK · Effective Jul 13, 2025
J9 · Effective Dec 12, 2021
JH · Effective Dec 12, 2021
JL · Effective Dec 12, 2021
23 policies from 6 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Showing 10 of 13 · All Aetna policies
| Policy | Effective | Status of F84.0 |
|---|---|---|
| Analysis of Volatile Organic Compounds | Oct 3, 2023 | Covered |
| Autism Spectrum Disorders | Dec 5, 2023 | Covered |
| Electrical Stimulation for Nausea, Vomiting, Motion Sickness and Other Selected Indications | Jan 5, 2024 | Covered |
| Electroconvulsive Therapy | Sep 21, 2023 | Covered |
| Hair Analysis | May 5, 2023 | Covered |
| Hematopoietic Cell Transplantation for Autoimmune Diseases and Miscellaneous Indications |
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
J15 · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
J15 · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
J9 · Effective Oct 1, 2015
National · Effective Nov 9, 2023
JL · Effective Jan 1, 2026
National · Effective Oct 1, 2026
National · Effective Jun 4, 2026
J6 · Effective Apr 1, 2026
JL · Effective Sep 10, 2026
J9 · Effective Sep 10, 2026
JL · Effective Oct 1, 2025
National · Effective Apr 17, 2025
J6 · Effective Oct 1, 2026
National · Effective Mar 26, 2026
National · Effective Mar 26, 2026
J6 · Effective Apr 1, 2026
J5 · Effective Jan 1, 2026
J9 · Effective Oct 1, 2025
J6 · Effective Oct 1, 2026
| Aug 31, 2023 |
| Covered |
| Learning Disabilities, Dyslexia, and Vision | Feb 8, 2024 | Covered |
|---|
| Motor Cortex Stimulation | Oct 6, 2023 | Covered |
|---|
| Quantitative, Functional and Connectomic Analysis of Brain MRI | Oct 4, 2023 | Covered |
|---|
| Sensory and Auditory Integration Therapy | Apr 26, 2023 | Covered |
|---|
| Policy | Effective | Status of F84.0 |
|---|---|---|
| Concert Genetic Testing: Hereditary Cancer | Not recorded | Referenced |
| Concert Genetic Testing: Multisystem Genetic Conditions | Not recorded | Referenced |
| Concert Genetic Testing: Toxicology and Pharmacogenetics Version B | Not recorded | Referenced |
| Medically Necessary Optical Hardware | Not recorded | Covered |
| Policy | Effective | Status of F84.0 |
|---|---|---|
| Intensive Behavioral Interventions | May 15, 2026 | Covered |
| Sensory and Auditory Integration Therapy - Facilitated Communication | Jun 15, 2026 | Covered |
| Policy | Effective | Status of F84.0 |
|---|---|---|
| Applied Behavior Analysis for the Treatment of Autism Spectrum Disorders | Aug 1, 2025 | Covered |
| Applied Behavior Analysis Initial Assessment for the Treatment of Autism Spectrum Disorders | Aug 1, 2025 | Covered |
| Policy | Effective | Status of F84.0 |
|---|---|---|
| Activity Therapy for Autism Spectrum Disorders and Rett Syndrome | Jan 6, 2026 | Not covered |
| Policy | Effective | Status of F84.0 |
|---|---|---|
| Chromosome Microarray Testing (Non-Oncology Conditions) | Jun 1, 2026 | Covered |