Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound
JE · Effective Nov 12, 2023
11 active Medicare policies list M25.376, 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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JE · Effective Nov 12, 2023
JF · Effective Nov 12, 2023
JJ · Effective Apr 30, 2023
JM · Effective Apr 30, 2023
National · Effective Oct 1, 2026
National · Effective Oct 1, 2026
J6 · Effective Oct 1, 2026
4 policies from 1 payer
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of M25.376 |
|---|---|---|
| Ankle Orthoses, Ankle-Foot Orthoses (AFOs), and Knee-Ankle-Foot Orthoses (KAFOs) | Jul 28, 2023 | Covered |
| Osteochondral Autografts (Mosaicplasty, OATS) | Nov 20, 2023 | Covered |
| Prolotherapy and Sclerotherapy | Apr 11, 2023 | Covered |
| Subtalar Implant for Foot Deformity | Sep 14, 2023 | Covered |
National · Effective Oct 1, 2025
J5 · Effective Oct 1, 2026