9 commercial payer policies list G0428. 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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9 policies from 8 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of G0428 |
|---|---|---|
| Menaflex | Oct 11, 2023 | Covered |
| Skin and Soft Tissue Substitutes | Feb 9, 2024 | Covered |
| Policy | Effective | Status of G0428 |
|---|---|---|
| Meniscal Allografts and Other Meniscal Implants | Jul 1, 2026 | Covered |
| Policy | Effective | Status of G0428 |
|---|---|---|
| Meniscal Allografts and Other Meniscal Implants | Jul 1, 2026 | Covered |
| Policy | Effective | Status of G0428 |
|---|---|---|
| Meniscal Allografts and Other Meniscal Implants | Jul 1, 2026 | Covered |
| Policy | Effective | Status of G0428 |
|---|---|---|
| Meniscal Allografts and Other Meniscal Implants | Jul 1, 2026 | Covered |
| Policy | Effective | Status of G0428 |
|---|---|---|
| Surgery of the Knee | Jun 1, 2026 | Covered |
| Policy | Effective | Status of G0428 |
|---|---|---|
| Surgery of the Knee | Jun 1, 2026 | Covered |
| Policy | Effective | Status of G0428 |
|---|---|---|
| Surgery of the Knee | Jun 1, 2026 | Covered |