G36.0 coverage policies: Medicare and commercial payers

69 active Medicare policies list G36.0, and 6 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 G36.0

LCD · WPS-J5-L37205

Chemotherapy Drugs and their Adjuncts

J5 · Effective Sep 16, 2017

LCD · WPS-J8-L37205

Chemotherapy Drugs and their Adjuncts

J8 · Effective Sep 16, 2017

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 · NGS-J6-L33394

Drugs and Biologicals, Coverage of, for Label and Off-Label Uses

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L33394

Drugs and Biologicals, Coverage of, for Label and Off-Label Uses

JK · 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-L37373

MRI and CT Scans of the Head and Neck

JE · Effective Oct 8, 2018

Commercial payer policies listing G36.0

6 policies from 4 payers

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

Aetna

Aetna policies listing G36.0, with the code’s status in each
Policy	Effective	Status of G36.0
Antibody Tests for Neurologic DiseasesPayerPolicy · AETNA-CPB-0340	Feb 15, 2024	Covered
Botulinum ToxinPayerPolicy · AETNA-CPB-0113	Jan 1, 2024	Covered
Hematopoietic Cell Transplantation for Autoimmune Diseases and Miscellaneous IndicationsPayerPolicy · AETNA-CPB-0606	Aug 31, 2023	Covered

Ambetter

Ambetter policies listing G36.0, with the code’s status in each
Policy	Effective	Status of G36.0
Visual Field TestingPayerPolicy · AMBETTER-CP-VP-63	Not recorded	Covered

Anthem