G25.82 coverage policies: Medicare and commercial payers

41 active Medicare policies list G25.82, 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 G25.82

LCD · PALMETTO-JJ-L34417

CT of the Head

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L34417

CT of the Head

JM · Effective Oct 1, 2015

LCD · FIRST_COAST-L34007

Immune Globulin

J9 · Effective Oct 1, 2015

LCD · NOVITAS-JH-L35093

Immune Globulin

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35093

Immune Globulin

JL · Effective Oct 1, 2015

LCD · NORIDIAN-JE-L34314

Immune Globulin Intravenous (IVIg)

JE · Effective Oct 1, 2015

LCD · NORIDIAN-JF-L34314

Immune Globulin Intravenous (IVIg)

JF · Effective Oct 1, 2015

LCD · WPS-J5-L34771

Immune Globulins

J5 · Effective Oct 1, 2015

LCD · WPS-J8-L34771

Immune Globulins

J8 · Effective Oct 1, 2015

LCD · CGS-J15-L35891

Intravenous Immune Globulin

J15 · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L34580

Commercial payer policies listing G25.82

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 G25.82, with the code’s status in each
Policy	Effective	Status of G25.82
Chest Physiotherapy and Airway Clearance DevicesPayerPolicy · AETNA-CPB-0067	Mar 17, 2023	Covered
Hematopoietic Cell Transplantation for Autoimmune Diseases and Miscellaneous IndicationsPayerPolicy · AETNA-CPB-0606	Aug 31, 2023	Covered