G31.86 coverage policies: Medicare and commercial payers

22 active Medicare policies list G31.86, and 1 commercial payer policy lists 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 G31.86

LCD · PALMETTO-JJ-L39266

Cognitive Assessment and Care Plan Service

JJ · Effective Aug 28, 2022

LCD · PALMETTO-JM-L39266

Cognitive Assessment and Care Plan Service

JM · Effective Aug 28, 2022

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 · PALMETTO-JJ-L37638

Health and Behavior Assessment/Intervention

JJ · Effective Jan 29, 2018

LCD · PALMETTO-JM-L37638

Health and Behavior Assessment/Intervention

JM · Effective Jan 29, 2018

LCD · PALMETTO-JJ-L34424

Magnetic Resonance Angiography

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L34424

Magnetic Resonance Angiography

JM · Effective Oct 1, 2015

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 G31.86

1 policy from 1 payer

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

Cigna

Cigna policies listing G31.86, with the code’s status in each
Policy	Effective	Status of G31.86
Airway Clearance Devices in the Ambulatory SettingPayerPolicy · CIGNA-0069	Nov 9, 2025	Covered

G31.86 coverage policies: Medicare and commercial payers

Medicare policies listing G31.86

Cognitive Assessment and Care Plan Service

Cognitive Assessment and Care Plan Service

CT of the Head

CT of the Head

Health and Behavior Assessment/Intervention

Health and Behavior Assessment/Intervention

Magnetic Resonance Angiography

Magnetic Resonance Angiography

Nerve Conduction Studies and Electromyography

Nerve Conduction Studies and Electromyography

Commercial payer policies listing G31.86

Cigna

G31.86 coverage policies: Medicare and commercial payers

Medicare policies listing G31.86

Cognitive Assessment and Care Plan Service

Cognitive Assessment and Care Plan Service

CT of the Head

CT of the Head

Health and Behavior Assessment/Intervention

Health and Behavior Assessment/Intervention

Magnetic Resonance Angiography

Magnetic Resonance Angiography

Nerve Conduction Studies and Electromyography

Nerve Conduction Studies and Electromyography

Commercial payer policies listing G31.86

Cigna

Billing and Coding: Cognitive Assessment and Care Plan Service

Billing and Coding: CT of the Head

Billing and Coding: Health and Behavior Assessment/Intervention

Billing and Coding: Home Health Occupational Therapy

Billing and Coding: Home Health Physical Therapy

Billing and Coding: Home Health Skilled Nursing Care-Teaching and Training: Alzheimer's Disease and Behavioral Disturbances

Billing and Coding: Home Health Speech-Language Pathology

Billing and Coding: Hospice Alzheimer's Disease & Related Disorders

Billing and Coding: Magnetic Resonance Angiography

Billing and Coding: Nerve Conduction Studies and Electromyography

Billing and Coding: Outpatient Occupational Therapy

Billing and Coding: Outpatient Physical Therapy