M66.0 coverage policies: Medicare and commercial payers

21 active Medicare policies list M66.0, 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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Medicare policies listing M66.0

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 · NGS-J6-L33563

Incision and Drainage (I & D) of Abscess of Skin, Subcutaneous and Accessory Structures

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L33563

Incision and Drainage (I & D) of Abscess of Skin, Subcutaneous and Accessory Structures

JK · Effective Oct 1, 2015

LCD · NGS-J6-L33619

Nonvascular Extremity Ultrasound

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L33619

Nonvascular Extremity Ultrasound

JK · Effective Oct 1, 2015

Article · A58865

Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound

Commercial payer policies listing M66.0

2 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 M66.0, with the code’s status in each
Policy	Effective	Status of M66.0
Pulsed Electromagnetic StimulationPayerPolicy · AETNA-CPB-0175	Mar 14, 2023	Covered

Anthem

Anthem policies listing M66.0, with the code’s status in each
Policy	Effective	Status of M66.0
Genicular Procedures for Treatment of Knee PainPayerPolicy · ANTHEM-SURG.00142	Jan 6, 2026	Not covered

M66.0 coverage policies: Medicare and commercial payers

Medicare policies listing M66.0

Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound

Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound

Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound

Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound

Incision and Drainage (I & D) of Abscess of Skin, Subcutaneous and Accessory Structures

Incision and Drainage (I & D) of Abscess of Skin, Subcutaneous and Accessory Structures

Nonvascular Extremity Ultrasound

Nonvascular Extremity Ultrasound

Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound

Commercial payer policies listing M66.0

Aetna

Anthem

M66.0 coverage policies: Medicare and commercial payers

Medicare policies listing M66.0

Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound

Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound

Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound

Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound

Incision and Drainage (I & D) of Abscess of Skin, Subcutaneous and Accessory Structures

Incision and Drainage (I & D) of Abscess of Skin, Subcutaneous and Accessory Structures

Nonvascular Extremity Ultrasound

Nonvascular Extremity Ultrasound

Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound

Commercial payer policies listing M66.0

Aetna

Anthem

Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound

Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound

Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound

Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound

Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound

Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound

Billing and Coding: Home Health Occupational Therapy

Billing and Coding: Home Health Physical Therapy

Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures

Billing and Coding: Nonvascular Extremity Ultrasound

Billing and Coding: Outpatient Occupational Therapy

Billing and Coding: Outpatient Physical Therapy