R41.0 coverage policies: Medicare and commercial payers

49 active Medicare policies list R41.0, 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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Medicare policies listing R41.0

LCD · NORIDIAN-JE-L37547

Chest X-Ray Policy

JE · Effective Jun 22, 2018

LCD · NORIDIAN-JF-L37547

Chest X-Ray Policy

JF · Effective Jun 22, 2018

LCD · NOVITAS-JH-L35006

Controlled Substance Monitoring and Drugs of Abuse Testing

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35006

Controlled Substance Monitoring and Drugs of Abuse Testing

JL · 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-L33399

EEG â Ambulatory Monitoring

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L33399

EEG â Ambulatory Monitoring

JK · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L39400

Magnesium

JJ · Effective Jan 22, 2023

LCD · PALMETTO-JM-L39400

Magnesium

JM · Effective Jan 22, 2023

Commercial payer policies listing R41.0

7 policies from 4 payers

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

Anthem

Anthem policies listing R41.0, with the code’s status in each
Policy	Effective	Status of R41.0
Outpatient Urine CultureClinical Guideline · ANTHEM-CG-LAB-24	Jan 6, 2026	Covered
Testing for Biochemical Markers for Alzheimer DiseasePayerPolicy · ANTHEM-LAB.00046	Jul 1, 2026	Covered
Vitamin D TestingClinical Guideline · ANTHEM-CG-LAB-11	Oct 1, 2026	Covered

Aetna

Aetna policies listing R41.0, with the code’s status in each
Policy	Effective	Status of R41.0
Electroconvulsive TherapyPayerPolicy · AETNA-CPB-0445	Sep 21, 2023	Covered
Polymerase Chain Reaction Testing: Selected IndicationsPayerPolicy · AETNA-CPB-0650