6 commercial payer policies list T1031. 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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6 policies from 3 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of T1031 |
|---|---|---|
| Chronic Wound Care in the Home or Outpatient Setting | Jan 6, 2026 | Covered |
| Home Health | Jan 6, 2026 | Covered |
| Private Duty Nursing in the Home Setting | Oct 1, 2026 | Covered |
| Policy | Effective | Status of T1031 |
|---|---|---|
| Home Births | May 30, 2023 | Covered |
| Skilled Home Health Care Nursing Services | Mar 30, 2023 | Covered |
| Policy | Effective | Status of T1031 |
|---|---|---|
| Cigna Medicare Advantage Home Health Code List - Effective 01/01/2025 | Jan 1, 2025 | Prior auth required |