G11.19 coverage policies: Medicare and commercial payers

40 active Medicare policies list G11.19, and 4 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 G11.19

LCD · NGS-J6-L35074

Heavy Metal Testing

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L35074

Heavy Metal Testing

JK · Effective Oct 1, 2015

LCD · NORIDIAN-JE-L37373

MRI and CT Scans of the Head and Neck

JE · Effective Oct 8, 2018

LCD · NORIDIAN-JF-L37373

MRI and CT Scans of the Head and Neck

JF · Effective Oct 8, 2018

LCD · NGS-J6-L35098

Nerve Conduction Studies and Electromyography

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L35098

Nerve Conduction Studies and Electromyography

JK · Effective Oct 1, 2015

LCD · NORIDIAN-JE-L36524

Nerve Conduction Studies and Electromyography

JE · Effective Jun 1, 2016

LCD · NORIDIAN-JF-L36524

Nerve Conduction Studies and Electromyography

JF · Effective Jun 1, 2016

LCD · PALMETTO-JJ-L35048

Nerve Conduction Studies and Electromyography

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L35048

Nerve Conduction Studies and Electromyography

Commercial payer policies listing G11.19

4 policies from 3 payers

Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.

Ambetter

Ambetter policies listing G11.19, with the code’s status in each
Policy	Effective	Status of G11.19
Concert Genetic Testing: NeurologyPayerPolicy · AMBETTER-CONCERT-GENETIC-TESTING-NEUROLOGY	Not recorded	Referenced
Evoked Potential TestingPayerPolicy · AMBETTER-CP-MP-134	Not recorded	Covered

Aetna

Aetna policies listing G11.19, with the code’s status in each
Policy	Effective	Status of G11.19
Autologous Skeletal Myoblast/Mononuclear Bone Marrow Cell TransplantationPayerPolicy · AETNA-CPB-0599	Aug 30, 2023	Covered

Cigna

Cigna policies listing G11.19, with the code’s status in each
Policy	Effective	Status of G11.19