R48.1 coverage policies: Medicare and commercial payers

26 active Medicare policies list R48.1, 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.

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Medicare policies listing R48.1

LCD · NGS-J6-L33633

Magnetic Resonance Angiography (MRA)

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L33633

Magnetic Resonance Angiography (MRA)

JK · 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 · NOVITAS-JH-L35101

Psychiatric Codes

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35101

Psychiatric Codes

JL · Effective Oct 1, 2015

LCD · FIRST_COAST-L34520

Psychological and Neuropsychological Tests

J9 · Effective Oct 1, 2015

LCD · NOVITAS-JH-L35070

Speech - Language Pathology (SLP) Services: Communication Disorders

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35070

Speech - Language Pathology (SLP) Services: Communication Disorders

JL · Effective Oct 1, 2015

LCD · CGS-J15-L34046

Speech-Language Pathology

Commercial payer policies listing R48.1

2 policies from 1 payer

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

Aetna

Aetna policies listing R48.1, with the code’s status in each
Policy	Effective	Status of R48.1
Learning Disabilities, Dyslexia, and VisionPayerPolicy · AETNA-CPB-0078	Feb 8, 2024	Covered
Melodic Intonation TherapyPayerPolicy · AETNA-CPB-0284	May 4, 2023	Covered