S02.841A coverage policies: Medicare and commercial payers

12 active Medicare policies list S02.841A, 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 S02.841A

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 · PALMETTO-JJ-L34425

Magnetic Resonance Imaging of the Head and Neck

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L34425

Magnetic Resonance Imaging of the Head and Neck

JM · 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

Article · A56612

Billing and Coding: CT of the Head

National · Effective Oct 1, 2026

Article · A53058

Billing and Coding: Home Health Physical Therapy

National · Effective Oct 1, 2026

Article · A56729

Billing and Coding: Magnetic Resonance Imaging of the Head and Neck

National · Effective Oct 1, 2026

Article · A57204

Billing and Coding: MRI and CT Scans of the Head and Neck

National · Effective Oct 1, 2026

Article · A53064

Billing and Coding: Outpatient Occupational Therapy

Commercial payer policies listing S02.841A

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 S02.841A, with the code’s status in each
Policy	Effective	Status of S02.841A
External Ocular PhotographyPayerPolicy · AETNA-CPB-0734	Sep 22, 2023	Covered