Controlled Substance Monitoring and Drugs of Abuse Testing
J9 · Effective Oct 11, 2015
58 active Medicare policies list G40.911, and 8 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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J9 · Effective Oct 11, 2015
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
JJ · Effective Jan 22, 2023
JM · Effective Jan 22, 2023
JH · Effective Oct 1, 2015
8 policies from 3 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of G40.911 |
|---|---|---|
| Electroconvulsive Therapy | Sep 21, 2023 | Covered |
| Epilepsy Surgery | Feb 27, 2024 | Covered |
| Magnetic Source Imaging/Magnetoencephalography | May 4, 2023 | Covered |
| Stereotactic Cingulotomy and Capsulotomy | May 5, 2023 | Covered |
| Policy | Effective | Status of G40.911 |
|---|---|---|
| Digital EEG Spike Analysis |
JL · Effective Oct 1, 2015
JE · Effective Oct 8, 2018
JF · Effective Oct 8, 2018
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
J9 · Effective Oct 1, 2015
J9 · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
J15 · Effective Oct 5, 2015
J6 · Effective Dec 24, 2023
JK · Effective Dec 24, 2023
JE · Effective Jun 28, 2016
JF · Effective Jun 28, 2016
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
J15 · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
JL · Effective Oct 1, 2024
J9 · Effective Oct 1, 2024
National · Effective Oct 1, 2025
J6 · Effective Oct 1, 2020
National · Effective Oct 1, 2025
JL · Effective Jan 1, 2026
National · Effective Oct 23, 2025
JL · Effective Oct 13, 2023
J9 · Effective Oct 13, 2023
National · Effective Oct 1, 2025
National · Effective Oct 1, 2025
JL · Effective Oct 1, 2025
J9 · Effective Oct 1, 2025
J9 · Effective Oct 1, 2020
National · Effective Nov 1, 2024
J6 · Effective Jan 1, 2025
National · Effective Jun 1, 2026
National · Effective Jun 1, 2026
National · Effective Apr 16, 2026
J5 · Effective Jun 1, 2026
J6 · Effective Nov 1, 2025
J6 · Effective Oct 1, 2025
National · Effective Nov 6, 2025
| Not recorded |
| Covered |
| Medically Necessary Optical Hardware | Not recorded | Covered |
|---|
| Vagus Nerve Stimulation | Not recorded | Covered |
|---|
| Policy | Effective | Status of G40.911 |
|---|---|---|
| Electroencephalography | Feb 15, 2026 | Covered |