Controlled Substance Monitoring and Drugs of Abuse Testing
J9 · Effective Oct 11, 2015
58 active Medicare policies list G40.919, and 34 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.
Free account. Policy pages stay open to everyone.
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
34 policies from 4 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Showing 10 of 22 · All Aetna policies
| Policy | Effective | Status of G40.919 |
|---|---|---|
| Actigraphy and Accelerometry | Oct 3, 2023 | Covered |
| Aldesleukin (Proleukin) | Sep 21, 2023 | Covered |
| Ambulatory Electroencephalography | Jun 8, 2023 | Covered |
| Attended Electroencephalographic (EEG) Video Monitoring | Apr 28, 2023 | Covered |
| Autologous Skeletal Myoblast/Mononuclear Bone Marrow Cell Transplantation | Aug 30, 2023 | Covered |
| Carbogen Inhalation Therapy | Jun 8, 2023 |
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, 2026
J6 · Effective Apr 1, 2026
National · Effective Oct 1, 2026
JL · Effective Jan 1, 2026
National · Effective Oct 1, 2026
JL · Effective Oct 13, 2023
J9 · Effective Oct 13, 2023
National · Effective Oct 1, 2026
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 Apr 1, 2026
National · Effective Jun 1, 2026
National · Effective Jun 1, 2026
National · Effective Apr 16, 2026
J5 · Effective Jun 1, 2026
J6 · Effective Jun 1, 2026
J6 · Effective Apr 1, 2026
National · Effective Nov 6, 2025
| Covered |
| Cognitive Rehabilitation | Feb 9, 2024 | Covered |
|---|
| Epilepsy Surgery | Feb 27, 2024 | Covered |
|---|
| Grid Monitoring and Intraoperative Electroencephalography | Apr 27, 2023 | Covered |
|---|
| Hospitalization for the Initiation of Ketogenic Diet | Apr 25, 2023 | Covered |
|---|
| Policy | Effective | Status of G40.919 |
|---|---|---|
| Deep Brain Stimulation and Responsive Neurostimulation | Oct 1, 2026 | Covered |
| Gamma Glutamyl Transferase Testing | Jul 1, 2026 | Covered |
| Minimally Invasive Ablative Procedures for Epilepsy | Jan 6, 2026 | Covered |
| Outpatient Laboratory-based Blood Glucose Testing | Jul 1, 2026 | Covered |
| Surface Electromyography and Electrodermal Activity Sensor Devices for Seizure Monitoring | Jan 6, 2026 | Not covered |
| Vagus Nerve Stimulation | Oct 1, 2026 | Covered |
| Vitamin D Testing | Oct 1, 2026 | Covered |
| Policy | Effective | Status of G40.919 |
|---|---|---|
| Concert Genetic Testing: Neurology | Not recorded | Referenced |
| Digital EEG Spike Analysis | Not recorded | Covered |
| Medically Necessary Optical Hardware | Not recorded | Covered |
| Vagus Nerve Stimulation | Not recorded | Covered |
| Policy | Effective | Status of G40.919 |
|---|---|---|
| Electroencephalography | Feb 15, 2026 | Covered |