R13.10 coverage policies: Medicare and commercial payers

32 active Medicare policies list R13.10, and 10 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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Medicare policies listing R13.10

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 · FIRST_COAST-L33583

Diagnostic and Therapeutic Esophagogastroduodenoscopy

J9 · Effective Oct 1, 2015

LCD · NORIDIAN-JE-L37373

MRI and CT Scans of the Head and Neck

JE · Effective Oct 8, 2018

LCD · NORIDIAN-JF-L37373

MRI and CT Scans of the Head and Neck

JF · Effective Oct 8, 2018

LCD · NGS-J6-L35098

Nerve Conduction Studies and Electromyography

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L35098

Nerve Conduction Studies and Electromyography

JK · Effective Oct 1, 2015

LCD · FIRST_COAST-L34018

Parathormone (Parathyroid Hormone)

Commercial payer policies listing R13.10

10 policies from 2 payers

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

Aetna

Aetna policies listing R13.10, with the code’s status in each
Policy	Effective	Status of R13.10
CoblationPayerPolicy · AETNA-CPB-0475	Jul 12, 2023	Covered
Drug-Eluting StentsPayerPolicy · AETNA-CPB-0621	Sep 12, 2023	Covered
Dysphagia TherapyPayerPolicy · AETNA-CPB-0625	Sep 12, 2023	Covered
Esophageal and Airway pH MonitoringPayerPolicy · AETNA-CPB-0667	Sep 25, 2023	Covered
Motor Cortex StimulationPayerPolicy · AETNA-CPB-0755	Oct 6, 2023	Covered
Polymerase Chain Reaction Testing: Selected IndicationsPayerPolicy · AETNA-CPB-0650	Feb 9, 2024	Covered