Drugs and Biologicals, Coverage of, for Label and Off-Label Uses
J6 · Effective Oct 1, 2015
24 active Medicare policies list H20.13, and 4 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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J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
J15 · Effective Oct 1, 2015
J6 · Effective Nov 1, 2022
JK · Effective Nov 1, 2022
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J15 · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
4 policies from 1 payer
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of H20.13 |
|---|---|---|
| Extended Ophthalmoscopy | Not recorded | Covered |
| External Ocular Photography | Not recorded | Covered |
| Gonioscopy | Not recorded | Covered |
| Visual Field Testing | Not recorded | Covered |
JK · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
J9 · Effective Oct 1, 2015
J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
J6 · Effective Oct 1, 2024
National · Effective May 7, 2026
J6 · Effective Jan 1, 2026
National · Effective Oct 1, 2025
J6 · Effective Oct 1, 2025
National · Effective Nov 6, 2025
J6 · Effective Oct 1, 2025
J9 · Effective Oct 1, 2025
J5 · Effective Oct 1, 2025