S06.9X4S coverage policies: Medicare and commercial

S06.9X4S coverage policies: Medicare and commercial payers

20 active Medicare policies list S06.9X4S, 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.

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Medicare policies listing S06.9X4S

LCD · FIRST_COAST-L36767

Aortography and peripheral angiography

J9 · Effective Oct 31, 2016

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 · NGS-J6-L33632

Psychiatry and Psychology Services

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L33632

Psychiatry and Psychology Services

JK · Effective Oct 1, 2015

LCD · FIRST_COAST-L34520

Psychological and Neuropsychological Tests

J9 · 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

LCD · NOVITAS-JH-L35070

Speech - Language Pathology (SLP) Services: Communication Disorders

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35070

Speech - Language Pathology (SLP) Services: Communication Disorders

Commercial payer policies listing S06.9X4S

2 policies from 2 payers

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

Ambetter

Ambetter policies listing S06.9X4S, with the code’s status in each
Policy	Effective	Status of S06.9X4S
Medically Necessary Optical HardwarePayerPolicy · AMBETTER-CP-VP-06	Not recorded	Covered

Cigna

Cigna policies listing S06.9X4S, with the code’s status in each
Policy	Effective	Status of S06.9X4S
Cognitive RehabilitationPayerPolicy · CIGNA-CPG270	Jul 15, 2026	Covered