Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound
JE · Effective Nov 12, 2023
27 active Medicare policies list M35.04, and 2 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
J5 · Effective Sep 16, 2017
J8 · Effective Sep 16, 2017
J6 · Effective Nov 1, 2022
JK · Effective Nov 1, 2022
2 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 M35.04 |
|---|---|---|
| Medically Necessary Optical Hardware | Not recorded | Covered |
| Policy | Effective | Status of M35.04 |
|---|---|---|
| Outpatient Urine Culture | Jan 6, 2026 | Covered |
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J9 · Effective Oct 1, 2015
JE · Effective Mar 13, 2017
JF · Effective Mar 13, 2017
National · Effective Oct 23, 2025
J6 · Effective Oct 1, 2025
National · Effective Oct 1, 2025
J5 · Effective Oct 1, 2025
J9 · Effective Jan 1, 2026
JL · Effective Jan 1, 2026
J5 · Effective Nov 27, 2025
J6 · Effective Oct 1, 2025
National · Effective Oct 1, 2025
National · Effective Oct 1, 2025
J9 · Effective Oct 1, 2024
National · Effective Oct 16, 2025