R58 coverage policies: Medicare and commercial payers

19 active Medicare policies list R58, 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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Medicare policies listing R58

LCD · NORIDIAN-JE-L34233

Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)

JE · Effective Oct 1, 2015

LCD · NORIDIAN-JF-L34233

Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)

JF · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L34415

CT of the Abdomen and Pelvis

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L34415

CT of the Abdomen and Pelvis

JM · Effective Oct 1, 2015

LCD · CGS-J15-L34200

Removal of Benign Skin Lesions

J15 · Effective Oct 1, 2015

LCD · NOVITAS-JH-L34938

Removal of Benign Skin Lesions

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L34938

Removal of Benign Skin Lesions

JL · Effective Oct 1, 2015

LCD · FIRST_COAST-L38720

Treatment of Chronic Venous Insufficiency of the Lower Extremities

J9 · Effective Dec 27, 2020

LCD · NOVITAS-JH-L34924

Treatment of Chronic Venous Insufficiency of the Lower Extremities

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L34924

Commercial payer policies listing R58

1 policy from 1 payer

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

Aetna

Aetna policies listing R58, with the code’s status in each
Policy	Effective	Status of R58
Autotransfusers and Red Blood Cell GenotypingPayerPolicy · AETNA-CPB-0639	Sep 13, 2023	Covered

R58 coverage policies: Medicare and commercial payers

Medicare policies listing R58

Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)

Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)

CT of the Abdomen and Pelvis

CT of the Abdomen and Pelvis

Removal of Benign Skin Lesions

Removal of Benign Skin Lesions

Removal of Benign Skin Lesions

Treatment of Chronic Venous Insufficiency of the Lower Extremities

Treatment of Chronic Venous Insufficiency of the Lower Extremities

Commercial payer policies listing R58

Aetna

R58 coverage policies: Medicare and commercial payers

Medicare policies listing R58

Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)

Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)

CT of the Abdomen and Pelvis

CT of the Abdomen and Pelvis

Removal of Benign Skin Lesions

Removal of Benign Skin Lesions

Removal of Benign Skin Lesions

Treatment of Chronic Venous Insufficiency of the Lower Extremities

Treatment of Chronic Venous Insufficiency of the Lower Extremities

Commercial payer policies listing R58

Aetna

Treatment of Chronic Venous Insufficiency of the Lower Extremities

Treatment of Varicose Veins of the Lower Extremities

Treatment of Varicose Veins of the Lower Extremities

Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)

Billing and Coding: CT of the Abdomen and Pelvis

Billing and Coding: Removal of Benign Skin Lesions

Billing and Coding: Removal of Benign Skin Lesions

Billing and Coding: Treatment of Chronic Venous Insufficiency of the Lower Extremities

Billing and Coding: Treatment of Chronic Venous Insufficiency of the Lower Extremities

Billing and Coding: Treatment of Varicose Veins of the Lower Extremities