Controlled Substance Monitoring and Drugs of Abuse Testing
J9 · Effective Oct 11, 2015
40 active Medicare policies list G89.4, and 16 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
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
JE · Effective Oct 1, 2015
16 policies from 3 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Showing 10 of 14 · All Aetna policies
| Policy | Effective | Status of G89.4 |
|---|---|---|
| Chronic Pain Rehabilitation Programs | Apr 3, 2023 | Covered |
| Complementary and Alternative Medicine | Aug 10, 2023 | Covered |
| Complex Regional Pain Syndrome (CRPS): Treatments | Feb 27, 2024 | Covered |
| Eye Movement Desensitization and Reprocessing (EMDR) Therapy | Sep 7, 2023 | Covered |
| Hippotherapy | Apr 6, 2023 | Covered |
| Homocysteine Testing | Oct 26, 2023 |
JF · Effective Oct 1, 2015
JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
JJ · Effective Mar 31, 2024
JM · Effective Mar 31, 2024
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
J9 · Effective Oct 1, 2024
National · Effective Oct 1, 2026
National · Effective Oct 1, 2026
JL · Effective Oct 1, 2025
J5 · Effective Jan 1, 2026
National · Effective Oct 16, 2025
J5 · Effective Jan 1, 2026
National · Effective Jan 1, 2026
National · Effective Oct 1, 2025
J6 · Effective Apr 1, 2026
National · Effective Jan 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
| Covered |
| Laboratory Tests for Depression and Other Psychiatric Disorders | Feb 27, 2024 | Covered |
|---|
| Magnetic Source Imaging/Magnetoencephalography | May 4, 2023 | Covered |
|---|
| Motor Cortex Stimulation | Oct 6, 2023 | Covered |
|---|
| Peripheral Electrical Nerve Stimulation for Pain | Feb 8, 2024 | Covered |
|---|
| Policy | Effective | Status of G89.4 |
|---|---|---|
| Trigger Point Injections | Jul 1, 2026 | Covered |
| Policy | Effective | Status of G89.4 |
|---|---|---|
| Peripheral Nerve Destruction for Pain Conditions | Sep 15, 2026 | Not covered |