G90.513 coverage policies: Medicare and commercial payers

57 active Medicare policies list G90.513, 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 G90.513

LCD · NGS-J6-L36236

Autonomic Function Testing

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L36236

Autonomic Function Testing

JK · Effective Oct 1, 2015

LCD · WPS-J5-L35124

Autonomic Function Testing

J5 · Effective Oct 1, 2015

LCD · WPS-J8-L35124

Autonomic Function Testing

J8 · Effective Oct 1, 2015

LCD · FIRST_COAST-L33609

Autonomic Function Tests

J9 · Effective Oct 1, 2015

LCD · NOVITAS-JH-L35395

Autonomic Function Tests

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35395

Autonomic Function Tests

JL · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L37641

Continuous Peripheral Nerve Blocks (CPNB)

JJ · Effective Jan 29, 2018

LCD · PALMETTO-JM-L37641

Continuous Peripheral Nerve Blocks (CPNB)

JM · Effective Jan 29, 2018

LCD · PALMETTO-JJ-L33461

Implantable Infusion Pump

JJ · Effective Oct 1, 2015

Commercial payer policies listing G90.513

1 policy from 1 payer

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

Ambetter

Ambetter policies listing G90.513, with the code’s status in each
Policy	Effective	Status of G90.513
Implantable Intrathecal or Epidural Pain PumpPayerPolicy · AMBETTER-CP-MP-173	Not recorded	Covered