Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound
JE · Effective Nov 12, 2023
33 active Medicare policies list M25.569, and 8 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
JJ · Effective Jan 29, 2018
JM · Effective Jan 29, 2018
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
8 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 M25.569 |
|---|---|---|
| Cryoablation | Dec 5, 2023 | Covered |
| Electrical Stimulation for Nausea, Vomiting, Motion Sickness and Other Selected Indications | Jan 5, 2024 | Covered |
| Knee Arthroscopy / Osteoarthritis of the Knee | Nov 21, 2023 | Covered |
| Magnetic Resonance Imaging (MRI) of the Extremities | Apr 6, 2023 | Covered |
| Menaflex | Oct 11, 2023 | Covered |
| Phonophoresis | Apr 11, 2023 | Covered |
J9 · Effective Oct 1, 2015
J9 · Effective Oct 1, 2015
JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
JJ · Effective Mar 31, 2024
JM · Effective Mar 31, 2024
J15 · Effective Oct 5, 2015
National · Effective Oct 1, 2026
National · Effective Oct 1, 2026
J6 · Effective Oct 1, 2026
National · Effective Oct 1, 2025
J5 · Effective Oct 1, 2026
J9 · Effective Jan 1, 2026
JL · Effective Jan 1, 2026
National · Effective Oct 1, 2025
JL · Effective Jan 1, 2026
J9 · Effective Jun 25, 2026
National · Effective Oct 30, 2025
J5 · Effective Jan 1, 2026
National · Effective Jan 1, 2026
National · Effective Oct 1, 2025
J6 · Effective Apr 1, 2026
National · Effective Jan 1, 2026
National · Effective Apr 16, 2026
National · Effective Nov 6, 2025
| Viscosupplementation | Jan 1, 2024 | Covered |
|---|
| Policy | Effective | Status of M25.569 |
|---|---|---|
| Genicular Procedures for Treatment of Knee Pain | Jan 6, 2026 | Not covered |