Oximetry Services
JH · Effective Oct 1, 2015
13 active Medicare policies list J21.0, and 6 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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JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
JL · Effective Jan 1, 2026
National · Effective Oct 1, 2026
6 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 J21.0 |
|---|---|---|
| Nitric Oxide, Inhalational (INO) | Jul 18, 2023 | Covered |
| Palivizumab (Synagis) | Feb 15, 2024 | Covered |
| Polymerase Chain Reaction Testing: Selected Indications | Feb 9, 2024 | Covered |
| Positive Pressure Ventilation | Feb 16, 2024 | Covered |
| Ribavirin for Inhalation Use | Mar 31, 2023 | Covered |
National · Effective Jan 1, 2026
National · Effective Jan 1, 2026
JL · Effective Oct 1, 2025
| Policy | Effective | Status of J21.0 |
|---|
| Pulmonary Function Testing | Not recorded | Covered |
|---|