R05.8 coverage policies: Medicare and commercial payers

27 active Medicare policies list R05.8, and 2 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 R05.8

Free account. Policy pages stay open to everyone.

Medicare policies listing R05.8

LCD · NORIDIAN-L34313

Allergy Testing

JE · Effective Oct 1, 2015

LCD · WPS-J5-L36402

Allergy Testing

J5 · Effective Mar 18, 2016

LCD · WPS-J8-L36402

Allergy Testing

J8 · Effective Mar 18, 2016

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 · FIRST_COAST-L33674

Duplex Scanning

J9 · Effective Oct 1, 2015

LCD · CGS-J15-L39038

MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

J15 · Effective Apr 17, 2022

LCD · NORIDIAN-JE-L39001

MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

JE · Effective Apr 17, 2022

LCD · NORIDIAN-JF-L39001

MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

JF · Effective Apr 17, 2022

LCD · PALMETTO-JJ-L38988

Commercial payer policies listing R05.8

2 policies from 1 payer

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

Ambetter

Ambetter policies listing R05.8, with the code’s status in each
Policy	Effective	Status of R05.8
Polymerase Chain Reaction Respiratory Viral Panel TestingPayerPolicy · AMBETTER-CP-MP-181	Not recorded	Covered
Pulmonary Function TestingPayerPolicy · AMBETTER-CP-MP-242	Not recorded	Covered