G64 coverage policies: Medicare and commercial payers

49 active Medicare policies list G64, and 3 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 G64

LCD · CGS-J15-L35891

Intravenous Immune Globulin

J15 · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L34580

Intravenous Immunoglobulin (IVIG)

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L34580

Intravenous Immunoglobulin (IVIG)

JM · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L37642

Nerve Blocks and Electrostimulation for Peripheral Neuropathy

JJ · Effective Jan 29, 2018

LCD · PALMETTO-JM-L37642

Nerve Blocks and Electrostimulation for Peripheral Neuropathy

JM · Effective Jan 29, 2018

LCD · CGS-J15-L35897

Nerve Conduction Studies and Electromyography

J15 · Effective Oct 1, 2015

LCD · FIRST_COAST-L34859

Nerve Conduction Studies and Electromyography

J9 · Effective Oct 1, 2015

LCD · NGS-J6-L35098

Nerve Conduction Studies and Electromyography

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L35098

Nerve Conduction Studies and Electromyography

JK · Effective Oct 1, 2015

LCD · NORIDIAN-JE-L36524

Nerve Conduction Studies and Electromyography

Commercial payer policies listing G64

3 policies from 2 payers

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

Aetna

Aetna policies listing G64, with the code’s status in each
Policy	Effective	Status of G64
Acupuncture and Dry NeedlingPayerPolicy · AETNA-CPB-0135	Apr 5, 2023	Covered
Antibody Tests for Neurologic DiseasesPayerPolicy · AETNA-CPB-0340	Feb 15, 2024	Covered

Cigna

Cigna policies listing G64, with the code’s status in each
Policy	Effective	Status of G64
Serum Folate and Red Blood Cell Folate TestingPayerPolicy · CIGNA-0567	Dec 15, 2025	Covered