L53.8 coverage policies: Medicare and commercial payers

29 active Medicare policies list L53.8, and 1 commercial payer policy lists 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 L53.8

LCD · NORIDIAN-L34313

Allergy Testing

JE · Effective Oct 1, 2015

LCD · NORIDIAN-JE-L34233

Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)

JE · Effective Oct 1, 2015

LCD · NORIDIAN-JF-L34233

Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)

JF · Effective Oct 1, 2015

LCD · CGS-J15-L39506

Cosmetic and Reconstructive Surgery

J15 · Effective May 28, 2023

LCD · FIRST_COAST-L38914

Cosmetic and Reconstructive Surgery

J9 · Effective Jul 11, 2021

LCD · NOVITAS-JH-L35090

Cosmetic and Reconstructive Surgery

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35090

Cosmetic and Reconstructive Surgery

JL · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L33428

Cosmetic and Reconstructive Surgery

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L33428

Cosmetic and Reconstructive Surgery

JM · Effective Oct 1, 2015

LCD · WPS-J5-L39051

Cosmetic and Reconstructive Surgery

Commercial payer policies listing L53.8

1 policy from 1 payer

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

Aetna

Aetna policies listing L53.8, with the code’s status in each
Policy	Effective	Status of L53.8
Pulsed Dye Laser TreatmentPayerPolicy · AETNA-CPB-0559	Aug 9, 2023	Covered