Category III Codes
J5 · Effective Oct 1, 2015
31 active Medicare policies list O24.011, and 7 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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J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J15 · Effective Nov 2, 2020
J9 · Effective Oct 11, 2020
J6 · Effective Dec 1, 2020
JK · Effective Dec 1, 2020
JE · Effective Nov 2, 2020
JF · Effective Nov 2, 2020
7 policies from 1 payer
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of O24.011 |
|---|---|---|
| Automated Insulin Delivery Systems | Apr 15, 2026 | Covered |
| Continuous Glucose Monitoring Devices | Apr 15, 2026 | Covered |
| External Insulin Pumps | Apr 15, 2026 | Covered |
| Gamma Glutamyl Transferase Testing | Jul 1, 2026 | Covered |
| Maternity Ultrasound in the Outpatient Setting | Jan 6, 2026 | Covered |
| Outpatient Glycated Hemoglobin and Protein Testing | Jul 1, 2026 |
JH · Effective Oct 11, 2020
JL · Effective Oct 11, 2020
JJ · Effective Apr 18, 2021
JM · Effective Apr 18, 2021
J5 · Effective Oct 11, 2020
J8 · Effective Oct 11, 2020
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
JE · Effective Mar 13, 2017
JF · Effective Mar 13, 2017
National · Effective Jan 1, 2025
JL · Effective Apr 1, 2025
J6 · Effective Apr 1, 2025
National · Effective Oct 9, 2025
National · Effective Oct 23, 2025
J9 · Effective Apr 1, 2025
J5 · Effective Apr 1, 2025
National · Effective Apr 1, 2025
JL · Effective Oct 1, 2025
National · Effective Oct 16, 2025
National · Effective Feb 18, 2025
| Covered |
| Outpatient Laboratory-based Blood Glucose Testing | Jul 1, 2026 | Covered |
|---|