Controlled Substance Monitoring and Drugs of Abuse Testing
JH · Effective Oct 1, 2015
33 active Medicare policies list R56.1, 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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JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
JJ · Effective Jan 22, 2023
JM · Effective Jan 22, 2023
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
10 policies from 2 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of R56.1 |
|---|---|---|
| Ambulatory Electroencephalography | Jun 8, 2023 | Covered |
| Attended Electroencephalographic (EEG) Video Monitoring | Apr 28, 2023 | Covered |
| Grid Monitoring and Intraoperative Electroencephalography | Apr 27, 2023 | Covered |
| Positron Emission Tomography (PET) | Sep 21, 2023 | Covered |
| Quantitative EEG (Brain Mapping) | Apr 25, 2023 | Covered |
| Quantitative, Functional and Connectomic Analysis of Brain MRI | Oct 4, 2023 |
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
JE · Effective Oct 8, 2018
JF · Effective Oct 8, 2018
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
J9 · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
JL · Effective Oct 1, 2024
National · Effective Oct 1, 2026
J6 · Effective Apr 1, 2026
National · Effective Nov 9, 2023
National · Effective Oct 1, 2026
National · Effective Oct 1, 2026
JL · Effective Jan 1, 2026
National · Effective Oct 1, 2026
JL · Effective Jan 1, 2026
JL · Effective Oct 1, 2025
J9 · Effective Oct 1, 2020
National · Effective Nov 1, 2024
| Selected Techniques for Delivery of Drugs to the Brain | Sep 22, 2023 | Covered |
|---|
| Stereotactic Radiosurgery | Feb 8, 2023 | Covered |
|---|
| Transcranial Doppler Ultrasonography | Jun 5, 2023 | Covered |
|---|
| Policy | Effective | Status of R56.1 |
|---|---|---|
| Electroencephalography | Feb 15, 2026 | Covered |