Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound
JE · Effective Nov 12, 2023
24 active Medicare policies list M25.861, and 3 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 Oct 1, 2015
JM · Effective Oct 1, 2015
J9 · Effective Oct 1, 2015
J5 · Effective Oct 13, 2024
3 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 M25.861 |
|---|---|---|
| Menaflex | Oct 11, 2023 | Covered |
| Osteochondral Autografts (Mosaicplasty, OATS) | Nov 20, 2023 | Covered |
| Policy | Effective | Status of M25.861 |
|---|---|---|
| Genicular Procedures for Treatment of Knee Pain | Jan 6, 2026 | Not covered |
J8 · Effective Oct 13, 2024
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 Jan 1, 2026
National · Effective Aug 28, 2025
National · Effective Oct 1, 2026
National · Effective Oct 1, 2026
J9 · Effective Jun 25, 2026
National · Effective Oct 1, 2026
National · Effective Oct 1, 2026
J5 · Effective Aug 27, 2026