H40.021 coverage policies: Medicare and commercial payers

44 active Medicare policies list H40.021, 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 H40.021

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 · CGS-J15-L34181

Ophthalmic Biometry for Intraocular Lens Power Calculation

J15 · 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)

Commercial payer policies listing H40.021

4 policies from 1 payer

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

Ambetter

Ambetter policies listing H40.021, with the code’s status in each
Policy	Effective	Status of H40.021
Extended OphthalmoscopyPayerPolicy · AMBETTER-CP-VP-26	Not recorded	Covered
Fundus PhotographyPayerPolicy · AMBETTER-CP-VP-29	Not recorded	Covered
GonioscopyPayerPolicy · AMBETTER-CP-VP-31	Not recorded	Covered
Visual Field TestingPayerPolicy · AMBETTER-CP-VP-63	Not recorded	Covered