MRI and CT Scans of the Head and Neck
JE · Effective Oct 8, 2018
5 active Medicare policies list H53.489, and 5 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.
Free account. Policy pages stay open to everyone.
JE · Effective Oct 8, 2018
JF · Effective Oct 8, 2018
J9 · Effective Oct 1, 2015
National · Effective Oct 1, 2026
J9 · Effective Oct 1, 2025
5 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 H53.489 |
|---|---|---|
| Behavioral Vision Therapy and Vision Restoration Therapy | Apr 28, 2023 | Covered |
| Optic Nerve and Retinal Imaging Methods | May 17, 2023 | Covered |
| Orthoptic Vision Therapy | Jul 14, 2023 | Covered |
| Policy | Effective | Status of H53.489 |
|---|---|---|
| Blepharoplasty, Blepharoptosis Repair, and Brow Lift | Jan 6, 2026 | Covered |
| Fundus Photography |
| Apr 15, 2026 |
| Covered |