CT of the Head
JJ · Effective Oct 1, 2015
28 active Medicare policies list S04.02XA, 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.
Free account. Policy pages stay open to everyone.
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
JE · Effective Oct 8, 2018
JF · Effective Oct 8, 2018
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J6 · Effective Mar 16, 2017
2 policies from 1 payer
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of S04.02XA |
|---|---|---|
| Fundus Photography | Not recorded | Covered |
| Visual Field Testing | Not recorded | Covered |
JK · Effective Mar 16, 2017
J5 · Effective Jul 17, 2017
J8 · Effective Jul 17, 2017
J9 · Effective Oct 1, 2015
J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
J15 · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
National · Effective Oct 1, 2026
National · Effective Oct 1, 2026
JL · Effective Oct 1, 2025
National · Effective Oct 1, 2025
J6 · Effective Apr 1, 2026
J5 · Effective Oct 1, 2025
J9 · Effective Oct 1, 2025
J5 · Effective Oct 1, 2025
J6 · Effective Apr 1, 2026
National · Effective Nov 6, 2025