H40.001 coverage policies: Medicare and commercial payers

37 active Medicare policies list H40.001, and 9 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 H40.001

LCD · CGS-J15-L33999

Corneal Pachymetry

J15 · Effective Oct 1, 2015

LCD · NGS-J6-L33630

Corneal Pachymetry

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L33630

Corneal Pachymetry

JK · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L34512

Corneal Pachymetry

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L34512

Corneal Pachymetry

JM · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L33467

Ophthalmology: Extended Ophthalmoscopy and Fundus Photography

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L33467

Ophthalmology: Extended Ophthalmoscopy and Fundus Photography

JM · Effective Oct 1, 2015

LCD · CGS-J15-L34399

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

J15 · 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 H40.001

9 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 H40.001, with the code’s status in each
Policy	Effective	Status of H40.001
Acupuncture and Dry NeedlingPayerPolicy · AETNA-CPB-0135	Apr 5, 2023	Covered
Anecortave Acetate (Retaane)PayerPolicy · AETNA-CPB-0706	Sep 20, 2023	Covered
Fluocinolone Acetonide Intra-vitreal Implant (Retisert, Yutiq and Iluvien)PayerPolicy · AETNA-CPB-0719	Jan 5, 2024	Covered
Glaucoma TestingPayerPolicy · AETNA-CPB-0622	Sep 12, 2023	Covered
Optic Nerve and Retinal Imaging MethodsPayerPolicy · AETNA-CPB-0344	May 17, 2023	Covered

Anthem

Fundus PhotographyClinical Guideline · ANTHEM-CG-MED-47	Apr 15, 2026	Covered
Outpatient Laboratory-based Blood Glucose TestingClinical Guideline · ANTHEM-CG-LAB-30	Jul 1, 2026	Covered
Posterior Segment Optical Coherence TomographyClinical Guideline · ANTHEM-CG-MED-85	Jan 6, 2026	Covered
Remote Devices for Intermittent Monitoring of Intraocular PressurePayerPolicy · ANTHEM-DME.00050	Oct 1, 2026	Not covered

Fundus PhotographyClinical Guideline · ANTHEM-CG-MED-47

Apr 15, 2026

Covered

Outpatient Laboratory-based Blood Glucose TestingClinical Guideline · ANTHEM-CG-LAB-30

Jul 1, 2026

Covered

Posterior Segment Optical Coherence TomographyClinical Guideline · ANTHEM-CG-MED-85

Jan 6, 2026

Covered

Remote Devices for Intermittent Monitoring of Intraocular PressurePayerPolicy · ANTHEM-DME.00050

Oct 1, 2026

Not covered