M31.4 coverage policies: Medicare and commercial payers

61 active Medicare policies list M31.4, and 5 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.

Get free alerts for M31.4

Free account. Policy pages stay open to everyone.

Medicare policies listing M31.4

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 · CGS-J15-L33959

Cardiac Catheterization and Coronary Angiography

J15 · Effective Oct 1, 2015

LCD · NGS-J6-L33557

Cardiac Catheterization and Coronary Angiography

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L33557

Cardiac Catheterization and Coronary Angiography

JK · Effective Oct 1, 2015

LCD · NGS-J6-L33394

Drugs and Biologicals, Coverage of, for Label and Off-Label Uses

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L33394

Drugs and Biologicals, Coverage of, for Label and Off-Label Uses

Commercial payer policies listing M31.4

5 policies from 2 payers

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

Aetna

Aetna policies listing M31.4, with the code’s status in each
Policy	Effective	Status of M31.4
Color-Flow Doppler Echocardiography and Myocardial Strain ImagingPayerPolicy · AETNA-CPB-0008	Mar 14, 2023	Covered
Drug-Eluting StentsPayerPolicy · AETNA-CPB-0621	Sep 12, 2023	Covered
Endovascular Repair of Aortic DiseasesPayerPolicy · AETNA-CPB-0651	Sep 14, 2023	Covered
Positron Emission Tomography (PET)PayerPolicy · AETNA-CPB-0071	Sep 21, 2023	Covered

Cigna

Cigna policies listing M31.4, with the code’s status in each
Policy	Effective	Status of M31.4
Transthoracic Echocardiography in AdultsPayerPolicy · CIGNA-0510	Sep 15, 2026