4 commercial payer policies list G0495. 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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4 policies from 2 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of G0495 |
|---|---|---|
| Aetna Home Health Code List | Jan 1, 2026 | Prior auth required |
| Skilled Home Health Care Nursing Services | Mar 30, 2023 | Covered |
| Policy | Effective | Status of G0495 |
|---|---|---|
| Home Health | Jan 6, 2026 | Covered |
| Home Hospice | Apr 15, 2026 | Covered |