G47.36 coverage policies: Medicare and commercial payers

39 active Medicare policies list G47.36, 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 G47.36

LCD · NOVITAS-JH-L35022

Bariatric Surgical Management of Morbid Obesity

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35022

Bariatric Surgical Management of Morbid Obesity

JL · Effective Oct 1, 2015

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 · WPS-J5-L38528

Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea

J5 · Effective Jun 14, 2020

LCD · WPS-J8-L38528

Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea

J8 · Effective Jun 14, 2020

LCD · PALMETTO-JJ-L34576

Laparoscopic Sleeve Gastrectomy for Severe Obesity

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L34576

Laparoscopic Sleeve Gastrectomy for Severe Obesity

JM · Effective Oct 1, 2015

LCD · NOVITAS-JH-L35050

Outpatient Sleep Studies

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35050

Commercial payer policies listing G47.36

1 policy from 1 payer

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

Aetna

Aetna policies listing G47.36, with the code’s status in each
Policy	Effective	Status of G47.36
Positive Pressure VentilationPayerPolicy · AETNA-CPB-0452	Feb 16, 2024	Covered