External Infusion Pumps
National · Effective Jan 25, 2026
1 active Medicare policy lists J1265, and 10 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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National · Effective Jan 25, 2026
10 policies from 9 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 J1265 |
|---|---|---|
| DOPAMINE TRANSPORTER IMAGING WITH SINGLE PHOTON EMISSION COMPUTED TOMOGRAPHY (DATSCAN) | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| DOPAMINE TRANSPORTER IMAGING WITH SINGLE PHOTON EMISSION COMPUTED TOMOGRAPHY (DATSCAN) - MEDICARE ADVANTAGE | Not recorded | Covered with conditionsInferred from policy title |
| Policy | Effective | Status of J1265 |
|---|---|---|
| Dopamine Transporter Imaging with Single Photon Emission Computed Tomography (DAT-SPECT) | 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 J1265 |
|---|---|---|
| Dopamine Transporter Imaging with Single-Photon Emission Computed Tomography | 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 J1265 |
|---|---|---|
| Dopamine Transporter Imaging with Single Photon Emission Computed Tomography prn | 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 J1265 |
|---|---|---|
| Dopamine Transporter Imaging With Single-Photon Emission Computed Tomography. Medical Policy MP 6.01.54 Dopamine Transporter Imaging With Single-Photon Emission Computed Tomography DISCLAIMER | 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 J1265 |
|---|---|---|
| Dopamine Transporter Single-Photon Emission Computed Tomography | 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 J1265 |
|---|---|---|
| Dopamine Transporter Imaging With Single Photon Emission Computed Tomography (DAT-SPECT) | 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 J1265 |
|---|---|---|
| 00496 Dopamine Transporter Single-Photon Emission Computed Tomography | 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 J1265 |
|---|---|---|
| 6.01.54 Dopamine Transporter Single-Photon Emission Computed | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |