3 commercial payer policies list S0504. 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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3 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 S0504 |
|---|---|---|
| Contact Lenses and Eyeglasses | Dec 5, 2023 | Covered |
| Safety Items | Nov 14, 2023 | Covered |
| Policy | Effective | Status of S0504 |
|---|---|---|
| Medically Necessary Optical Hardware | Not recorded | Covered |