G70.00 coverage policies: Medicare and commercial payers

81 active Medicare policies list G70.00, and 20 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.

Get free alerts for G70.00

Free account. Policy pages stay open to everyone.

Medicare policies listing G70.00

LCD · CGS-J15-L33944

Blepharoplasty

J15 · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L34411

Blepharoplasty, Eyelid Surgery, and Brow Lift

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L34411

Blepharoplasty, Eyelid Surgery, and Brow Lift

JM · Effective Oct 1, 2015

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-L33459

Computerized Axial Tomography (CT), Thorax

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L33459

Computerized Axial Tomography (CT), Thorax

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

Commercial payer policies listing G70.00

20 policies from 4 payers

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

Aetna

Showing 10 of 15 · All Aetna policies

Aetna policies listing G70.00, with the code’s status in each
Policy	Effective	Status of G70.00
Analysis of Volatile Organic CompoundsPayerPolicy · AETNA-CPB-0717	Oct 3, 2023	Covered
Bortezomib ProductsPayerPolicy · AETNA-CPB-0675	Feb 2, 2024	Covered
Chest Physiotherapy and Airway Clearance DevicesPayerPolicy · AETNA-CPB-0067	Mar 17, 2023	Covered
Extracorporeal Photochemotherapy (Photopheresis)PayerPolicy · AETNA-CPB-0241	Mar 29, 2023	Covered
Hematopoietic Cell Transplantation for Autoimmune Diseases and Miscellaneous IndicationsPayerPolicy · AETNA-CPB-0606	Aug 31, 2023	Covered
Non-myeloablative Hematopoietic Cell Transplantation (Mini-Allograft / Reduced Intensity Conditioning Transplant)

Policy	Effective	Status of G70.00
Therapeutic ApheresisClinical Guideline · ANTHEM-CG-MED-68	Apr 15, 2026	Covered
Thyroid TestingClinical Guideline · ANTHEM-CG-LAB-20	Apr 15, 2026	Covered
Vitamin D TestingClinical Guideline · ANTHEM-CG-LAB-11	Oct 1, 2026	Covered