4 commercial payer policies list K21.0. 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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4 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 K21.0 |
|---|---|---|
| Gastrointestinal Function: Selected Tests | Aug 30, 2023 | Covered |
| Pharmacogenetic and Pharmacodynamic Testing | Feb 27, 2024 | Covered |
| Policy | Effective | Status of K21.0 |
|---|---|---|
| Lower Esophageal Sphincter Augmentation Devices | Jan 6, 2026 | Not covered |
| Paraesophageal Hernia Repair | Jan 6, 2026 | Covered |