Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound
JE · Effective Nov 12, 2023
13 active Medicare policies list M86.30, 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
J15 · Effective Oct 1, 2015
National · Effective Oct 1, 2026
National · Effective Oct 1, 2026
J6 · Effective Oct 1, 2026
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 M86.30 |
|---|---|---|
| Bone and Tendon Graft Substitutes and Adjuncts | Feb 1, 2024 | Covered |
| Zoledronic Acid | Feb 1, 2024 | Covered |
| Policy | Effective | Status of M86.30 |
|---|---|---|
| Hyperbaric Oxygen Therapy (Systemic/Topical) | Jul 1, 2026 | Covered |
National · Effective Oct 1, 2025
J5 · Effective Oct 1, 2026
J9 · Effective Jan 1, 2026
JL · Effective Jan 1, 2026
National · Effective Apr 16, 2026