J47.1 coverage policies: Medicare and commercial payers

29 active Medicare policies list J47.1, and 2 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 J47.1

LCD · PALMETTO-JJ-L33459

Computerized Axial Tomography (CT), Thorax

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L33459

Computerized Axial Tomography (CT), Thorax

JM · Effective Oct 1, 2015

LCD · FIRST_COAST-L33923

Noninvasive Ear or Pulse Oximetry For Oxygen Saturation

J9 · Effective Oct 1, 2015

LCD · NOVITAS-JH-L35434

Oximetry Services

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35434

Oximetry Services

JL · Effective Oct 1, 2015

LCD · NORIDIAN-JE-L34149

Respiratory Care

JE · Effective Oct 1, 2015

LCD · NORIDIAN-JF-L34149

Respiratory Care

JF · Effective Oct 1, 2015

LCD · FIRST_COAST-L38918

Respiratory Pathogen Panel Testing

J9 · Effective Jul 11, 2021

LCD · NGS-L39027

Respiratory Pathogen Panel Testing

JK · Effective Dec 1, 2021

LCD · NOVITAS-JH-L38916

Respiratory Pathogen Panel Testing

JH · Effective Jul 11, 2021

Commercial payer policies listing J47.1

2 policies from 2 payers

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

Ambetter

Ambetter policies listing J47.1, with the code’s status in each
Policy	Effective	Status of J47.1
Pulmonary Function TestingPayerPolicy · AMBETTER-CP-MP-242	Not recorded	Covered

UnitedHealthcare

UnitedHealthcare policies listing J47.1, with the code’s status in each
Policy	Effective	Status of J47.1
Airway Clearance DevicesPayerPolicy · UHC-POL-airway-clearance-devices	Mar 1, 2026	Covered