7 commercial payer policies list J0165. 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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7 policies from 6 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Codes labeled “Inferred from policy title” are not listed in the policy document; Backwork attached them because the policy title names the drug.
| Policy | Effective | Status of J0165 |
|---|---|---|
| 00553 Auvi-Q (epinephrine auto-injector)- Retired Policy | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| 00908 Neffy (epinephrine nasal spray) | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J0165 |
|---|---|---|
| EPINEPHRINE | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J0165 |
|---|---|---|
| Epinephrine (EpiPen, EpiPen Jr, Neffy, Auvi-Q); CP.PCH. 55 | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J0165 |
|---|---|---|
| Epinephrine, Self-Injected | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J0165 |
|---|---|---|
| Neffy (epinephrine nasal spray) (PG243, Ver.3) | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J0165 |
|---|---|---|
| Epinephrine Auto-Injectors | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |