M25.511 coverage policies: Medicare and commercial payers

77 active Medicare policies list M25.511, 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 M25.511

LCD · NORIDIAN-JE-L39116

Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound

JE · Effective Nov 12, 2023

LCD · NORIDIAN-JF-L39116

Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound

JF · Effective Nov 12, 2023

LCD · PALMETTO-JJ-L39128

Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound

JJ · Effective Apr 30, 2023

LCD · PALMETTO-JM-L39128

Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound

JM · Effective Apr 30, 2023

LCD · PALMETTO-JJ-L37641

Continuous Peripheral Nerve Blocks (CPNB)

JJ · Effective Jan 29, 2018

LCD · PALMETTO-JM-L37641

Continuous Peripheral Nerve Blocks (CPNB)

JM · Effective Jan 29, 2018

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

Commercial payer policies listing M25.511

1 policy from 1 payer

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

EviCore by Evernorth

EviCore by Evernorth policies listing M25.511, with the code’s status in each
Policy	Effective	Status of M25.511
Massage TherapyEffective 06/04/2018 - 02/14/2019PayerPolicy · EVICORE-MSK_THERAPIES-368D1D72660A	Jun 4, 2018	Covered