S05.31XS coverage policies: Medicare and commercial payers

19 active Medicare policies list S05.31XS, and 3 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 S05.31XS

LCD · PALMETTO-JJ-L33428

Cosmetic and Reconstructive Surgery

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L33428

Cosmetic and Reconstructive Surgery

JM · Effective Oct 1, 2015

LCD · CGS-J15-L34032

Debridement Services

J15 · 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 · NGS-J6-L33567

Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L33567

Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)

JK · Effective Oct 1, 2015

LCD · NGS-J6-L34380

Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L34380

Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)

JK · Effective Oct 1, 2015

Article · A56658

Commercial payer policies listing S05.31XS

3 policies from 1 payer

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

Ambetter

Ambetter policies listing S05.31XS, with the code’s status in each
Policy	Effective	Status of S05.31XS
Extended OphthalmoscopyPayerPolicy · AMBETTER-CP-VP-26	Not recorded	Covered
External Ocular PhotographyPayerPolicy · AMBETTER-CP-VP-43	Not recorded	Covered
Medically Necessary Optical HardwarePayerPolicy · AMBETTER-CP-VP-06	Not recorded	Covered

S05.31XS coverage policies: Medicare and commercial payers

Medicare policies listing S05.31XS

Cosmetic and Reconstructive Surgery

Cosmetic and Reconstructive Surgery

Debridement Services

MRI and CT Scans of the Head and Neck

MRI and CT Scans of the Head and Neck

Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)

Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)

Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)

Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)

Commercial payer policies listing S05.31XS

Ambetter

S05.31XS coverage policies: Medicare and commercial payers

Medicare policies listing S05.31XS

Cosmetic and Reconstructive Surgery

Cosmetic and Reconstructive Surgery

Debridement Services

MRI and CT Scans of the Head and Neck

MRI and CT Scans of the Head and Neck

Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)

Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)

Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)

Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)

Commercial payer policies listing S05.31XS

Ambetter

Billing and Coding: Cosmetic and Reconstructive Surgery

Billing and Coding: Debridement Services

Billing and Coding: Home Health Occupational Therapy

Billing and Coding: Home Health Physical Therapy

Billing and Coding: Medicare Preventive Coverage for Certain Vaccines

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

Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)

Billing and Coding: Outpatient Occupational Therapy

Billing and Coding: Outpatient Physical Therapy

Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)