M62.81 coverage policies: Medicare and commercial payers

38 active Medicare policies list M62.81, 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.

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Medicare policies listing M62.81

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-L39400

Magnesium

JJ · Effective Jan 22, 2023

LCD · PALMETTO-JM-L39400

Magnesium

JM · Effective Jan 22, 2023

LCD · CGS-J15-L35897

Nerve Conduction Studies and Electromyography

J15 · Effective Oct 1, 2015

LCD · FIRST_COAST-L34859

Nerve Conduction Studies and Electromyography

J9 · Effective Oct 1, 2015

LCD · NGS-J6-L35098

Nerve Conduction Studies and Electromyography

Commercial payer policies listing M62.81

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 M62.81, with the code’s status in each
Policy	Effective	Status of M62.81
Bathroom and Toilet Equipment and SuppliesPayerPolicy · AETNA-CPB-0429	Feb 16, 2024	Covered
Hip ArthroplastyPayerPolicy · AETNA-CPB-0287	Nov 20, 2023	Covered
Spasticity ManagementPayerPolicy · AETNA-CPB-0362	Jun 21, 2023	Covered
Suit TherapyPayerPolicy · AETNA-CPB-0696	Sep 19, 2023	Covered

Cigna

Cigna policies listing M62.81, with the code’s status in each
Policy	Effective	Status of M62.81
Electrodiagnostic Testing (EMG/NCV)PayerPolicy · CIGNA-CPG129	Sep 15, 2026