5 commercial payer policies list L97.101. 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.
Free account. Policy pages stay open to everyone.
5 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 L97.101 |
|---|---|---|
| Bio-Surgery: Medicinal Leech Therapy and Medical Maggots | Aug 10, 2023 | Covered |
| Pancreas Kidney Transplantation | Aug 30, 2023 | Covered |
| Skin and Soft Tissue Substitutes | Feb 9, 2024 | Covered |
| Policy | Effective | Status of L97.101 |
|---|---|---|
| Hyperbaric Oxygen Therapy (Systemic/Topical) | Jul 1, 2026 | Covered |
| Outpatient Laboratory-based Blood Glucose Testing | Jul 1, 2026 | Covered |