Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
J15 · Effective Oct 1, 2015
12 active Medicare policies list H31.9, and 2 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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J15 · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
J9 · Effective Oct 1, 2015
J15 · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
J6 · Effective Apr 1, 2026
National · Effective Jun 4, 2026
2 policies from 2 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of H31.9 |
|---|---|---|
| Optic Nerve and Retinal Imaging Methods | May 17, 2023 | Covered |
| Policy | Effective | Status of H31.9 |
|---|---|---|
| Fundus Photography | Apr 15, 2026 | Covered |
J9 · Effective Oct 1, 2025
J6 · Effective Apr 1, 2026
National · Effective Nov 6, 2025