11 commercial payer policies list J1094. 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.
11 policies from 5 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of J1094 |
|---|---|---|
| Back Pain - Invasive Procedures | Mar 13, 2024 | Covered |
| Glaucoma Surgery | Mar 24, 2023 | Covered |
| Headaches: Nonsurgical Management | Feb 16, 2024 | Covered |
| Knee Arthroscopy / Osteoarthritis of the Knee | Nov 21, 2023 | Covered |
| Levator Syndrome Treatments | Sep 19, 2023 | Covered |
| Viscosupplementation | Jan 1, 2024 | Covered |
| Vitiligo | Feb 16, 2024 | Covered |
| Policy | Effective | Status of J1094 |
|---|---|---|
| Sphenopalatine Ganglion Block for Headache | Aug 15, 2025 | Covered |
| Policy | Effective | Status of J1094 |
|---|---|---|
| Sphenopalatine Ganglion Block for Headache | Aug 15, 2025 | Covered |
| Policy | Effective | Status of J1094 |
|---|---|---|
| Sphenopalatine Ganglion Block for Headache | Aug 15, 2025 | Covered |
| Policy | Effective | Status of J1094 |
|---|---|---|
| Sphenopalatine Ganglion Block for Headache | Aug 15, 2025 | Covered |