Category III Codes
J5 · Effective Oct 1, 2015
57 active Medicare policies list R19.5, and 1 commercial payer policy lists 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
J15 · Effective Mar 29, 2021
J9 · Effective Mar 28, 2021
J6 · Effective Apr 15, 2021
J6
JK · Effective Apr 15, 2021
JK
JE · Effective Mar 28, 2021
JF · Effective Mar 28, 2021
1 policy from 1 payer
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of R19.5 |
|---|---|---|
| Wireless Capsule Endoscopy for Gastrointestinal Imaging and the Patency Capsule | Oct 1, 2026 | Covered |
JH · Effective Mar 28, 2021
JL · Effective Mar 28, 2021
JJ · Effective Apr 12, 2021
JM · Effective Apr 12, 2021
J5 · Effective Mar 28, 2021
J8 · Effective Mar 28, 2021
J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
J15 · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
J9 · Effective Oct 1, 2015
J9 · Effective Oct 1, 2015
JH · Effective Mar 21, 2021
JL · Effective Mar 21, 2021
J15 · Effective Oct 1, 2015
J15 · Effective Apr 17, 2022
JE · Effective Apr 17, 2022
JF · Effective Apr 17, 2022
JJ · Effective Apr 17, 2022
JM · Effective Apr 17, 2022
J5 · Effective Apr 17, 2022
J8 · Effective Apr 17, 2022
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
National · Effective Nov 16, 2023
J6 · Effective Jan 1, 2022
National · Effective Jan 1, 2022
J9 · Effective Jan 1, 2022
JL · Effective Jan 1, 2022
National · Effective Sep 11, 2025
J5 · Effective Feb 23, 2023
J5 · Effective Jan 1, 2025
National · Effective Jan 22, 2026
National · Effective Oct 1, 2025
National · Effective Nov 6, 2025
J9 · Effective Oct 1, 2025
J9 · Effective Feb 4, 2026
JL · Effective Feb 4, 2026
National · Effective Mar 5, 2026
National · Effective Mar 19, 2026
National · Effective Mar 19, 2026
National · Effective Apr 16, 2026
J5 · Effective Mar 12, 2026
JL · Effective Jan 1, 2022