H35.3210 coverage policies: Medicare and commercial payers

43 active Medicare policies list H35.3210, 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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Medicare policies listing H35.3210

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 · CGS-J15-L38992

Electroretinography (ERG)

J15 · Effective Jan 30, 2022

LCD · FIRST_COAST-L37398

Electroretinography (ERG)

J9 · Effective Feb 2, 2018

LCD · NOVITAS-JH-L37371

Electroretinography (ERG)

JH · Effective Jan 25, 2018

LCD · NOVITAS-JL-L37371

Electroretinography (ERG)

JL · Effective Jan 25, 2018

LCD · NOVITAS-JH-L35049

Monitored Anesthesia Care

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35049

Monitored Anesthesia Care

JL · Effective Oct 1, 2015

LCD · NGS-J6-L33567

Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L33567

Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)

Commercial payer policies listing H35.3210

4 policies from 2 payers

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

Aetna

Aetna policies listing H35.3210, with the code’s status in each
Policy	Effective	Status of H35.3210
Age-Related Macular DegenerationPayerPolicy · AETNA-CPB-0765	Feb 20, 2024	Covered
BrachytherapyPayerPolicy · AETNA-CPB-0371	Jun 6, 2023	Covered
Vascular Endothelial Growth Factor Inhibitors for Ocular IndicationsPayerPolicy · AETNA-CPB-0701	Feb 20, 2024	Covered

Anthem

Anthem policies listing H35.3210, with the code’s status in each
Policy	Effective	Status of H35.3210
Implanted Port Delivery Systems to Treat Ocular DiseasePayerPolicy · ANTHEM-SURG.00160	Apr 15, 2026	Not covered