J45.50 coverage policies: Medicare and commercial payers

88 active Medicare policies list J45.50, and 4 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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Medicare policies listing J45.50

LCD · FIRST_COAST-L37800

Allergen Immunotherapy

J9 · Effective Oct 18, 2018

LCD · NOVITAS-JH-L36240

Allergen Immunotherapy

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L36240

Allergen Immunotherapy

JL · Effective Oct 1, 2015

LCD · CGS-J15-L40056

Allergen Immunotherapy (AIT) with Subcutaneous Immunotherapy (SCIT)

J15 · Effective Oct 26, 2025

LCD · NGS-J6-L40048

Allergen Immunotherapy (AIT) with Subcutaneous Immunotherapy (SCIT)

J6 · Effective Oct 26, 2025

LCD · NGS-JK-L40048

Allergen Immunotherapy (AIT) with Subcutaneous Immunotherapy (SCIT)

JK · Effective Oct 26, 2025

LCD · NORIDIAN-JE-L40050

Allergen Immunotherapy (AIT) with Subcutaneous Immunotherapy (SCIT)

JE · Effective Oct 26, 2025

LCD · NORIDIAN-JF-L40050

Allergen Immunotherapy (AIT) with Subcutaneous Immunotherapy (SCIT)

JF · Effective Oct 26, 2025

LCD · PALMETTO-JJ-L40046

Allergen Immunotherapy (AIT) with Subcutaneous Immunotherapy (SCIT)

JJ · Effective Oct 26, 2025

LCD · PALMETTO-JM-L40046

Commercial payer policies listing J45.50

4 policies from 3 payers

Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.

Aetna

Aetna policies listing J45.50, with the code’s status in each
Policy	Effective	Status of J45.50
Esophageal and Airway pH MonitoringPayerPolicy · AETNA-CPB-0667	Sep 25, 2023	Covered
Infrared TherapyPayerPolicy · AETNA-CPB-0604	Sep 8, 2023	Covered

Ambetter

Ambetter policies listing J45.50, with the code’s status in each
Policy	Effective	Status of J45.50
Pulmonary Function TestingPayerPolicy · AMBETTER-CP-MP-242	Not recorded	Covered

UnitedHealthcare

UnitedHealthcare policies listing J45.50, with the code’s status in each
Policy	Effective	Status of J45.50
Tezspire (Tezepelumab-Ekko)