Q85.09 coverage policies: Medicare and commercial payers

83 active Medicare policies list Q85.09, 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.

Get free alerts for Q85.09

Free account. Policy pages stay open to everyone.

Medicare policies listing Q85.09

LCD · PALMETTO-JJ-L33459

Computerized Axial Tomography (CT), Thorax

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L33459

Computerized Axial Tomography (CT), Thorax

JM · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L33428

Cosmetic and Reconstructive Surgery

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L33428

Cosmetic and Reconstructive Surgery

JM · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L34417

CT of the Head

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L34417

CT of the Head

JM · Effective Oct 1, 2015

LCD · NGS-J6-L40333

Erythropoiesis Stimulating Agents

LCD · NGS-J6-L40334

Erythropoiesis Stimulating Agents

J6 · Effective Jul 15, 2026

LCD · NGS-JK-L40333

Erythropoiesis Stimulating Agents

LCD · NGS-JK-L40334

Erythropoiesis Stimulating Agents

JK · Effective Jul 15, 2026

Commercial payer policies listing Q85.09

3 policies from 2 payers

Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.

Anthem

Anthem policies listing Q85.09, with the code’s status in each
Policy	Effective	Status of Q85.09
Gamma Glutamyl Transferase TestingClinical Guideline · ANTHEM-CG-LAB-29	Jul 1, 2026	Covered
Serum Iron TestingClinical Guideline · ANTHEM-CG-LAB-21	Apr 15, 2026	Covered

Aetna

Aetna policies listing Q85.09, with the code’s status in each
Policy	Effective	Status of Q85.09
CryoablationPayerPolicy · AETNA-CPB-0100	Dec 5, 2023	Covered