Drugs and Biologicals, Coverage of, for Label and Off-Label Uses
J6 · Effective Oct 1, 2015
3 active Medicare policies list N92.5, 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.
Free account. Policy pages stay open to everyone.
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
J6 · Effective Apr 1, 2026
5 policies from 4 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of N92.5 |
|---|---|---|
| Endometrial Cancer Screening, Diagnosis, and Prognosis | Oct 26, 2023 | Covered |
| Infertility | Feb 15, 2024 | Covered |
| Policy | Effective | Status of N92.5 |
|---|---|---|
| Endometrial Ablation | Not recorded | Covered |
| Policy | Effective | Status of N92.5 |
|---|---|---|
| Endometrial Ablation |
| Feb 15, 2026 |
| Not covered |
| Policy | Effective | Status of N92.5 |
|---|---|---|
| Hysterectomy | Jul 1, 2026 | Covered |