H53.461 coverage policies: Medicare and commercial payers

59 active Medicare policies list H53.461, 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.

Get free alerts for H53.461

Free account. Policy pages stay open to everyone.

Medicare policies listing H53.461

LCD · FIRST_COAST-L36767

Aortography and peripheral angiography

J9 · Effective Oct 31, 2016

LCD · PALMETTO-JJ-L34417

CT of the Head

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L34417

CT of the Head

JM · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L34424

Magnetic Resonance Angiography

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L34424

Magnetic Resonance Angiography

JM · Effective Oct 1, 2015

LCD · NGS-J6-L33633

Magnetic Resonance Angiography (MRA)

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L33633

Magnetic Resonance Angiography (MRA)

JK · Effective Oct 1, 2015

LCD · NOVITAS-JH-L34865

Magnetic Resonance Angiography (MRA)

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L34865

Magnetic Resonance Angiography (MRA)

JL · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L34425

Magnetic Resonance Imaging of the Head and Neck

JJ · Effective Oct 1, 2015

Commercial payer policies listing H53.461

2 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 H53.461, with the code’s status in each
Policy	Effective	Status of H53.461
Low Vision ProgramsPayerPolicy · AETNA-CPB-0580	Jul 28, 2023	Covered

Ambetter

Ambetter policies listing H53.461, with the code’s status in each
Policy	Effective	Status of H53.461
Visual Field TestingPayerPolicy · AMBETTER-CP-VP-63	Not recorded	Covered