CT of the Abdomen and Pelvis
JJ · Effective Oct 1, 2015
3 active Medicare policies list N94.89, and 9 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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JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
National · Effective Oct 1, 2026
9 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 N94.89 |
|---|---|---|
| Female Sexual Dysfunction (FSD) | Jul 28, 2023 | Covered |
| Grenz Ray Therapy for Skin Disorders | Mar 29, 2023 | Covered |
| Pelvic Congestion Syndrome Treatments | Jun 14, 2023 | Covered |
| Recurrent Pregnancy Loss | Feb 15, 2024 | Covered |
| Transvaginal Ultrasonography | Aug 8, 2023 | Covered |
| Policy |
|---|
| Effective |
|---|
| Status of N94.89 |
|---|
| Human Chorionic Gonadotropin Testing | Apr 15, 2026 | Covered |
|---|---|---|
| Non-Obstetric Gynecologic Duplex Ultrasonography of the Abdomen and Pelvis in the Outpatient Setting | Jan 6, 2026 | Covered |
| Policy | Effective | Status of N94.89 |
|---|---|---|
| Testing for Select Genitourinary Conditions | Not recorded | Covered |
| Policy | Effective | Status of N94.89 |
|---|---|---|
| Hysterectomy | Jul 1, 2026 | Covered |