T43.641A coverage policies: Medicare and commercial payers

31 active Medicare policies list T43.641A, and 1 commercial payer policy lists 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 T43.641A

LCD · WPS-J5-L36402

Allergy Testing

J5 · Effective Mar 18, 2016

LCD · WPS-J8-L36402

Allergy Testing

J8 · Effective Mar 18, 2016

LCD · NOVITAS-JH-L35006

Controlled Substance Monitoring and Drugs of Abuse Testing

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35006

Controlled Substance Monitoring and Drugs of Abuse Testing

JL · Effective Oct 1, 2015

LCD · NORIDIAN-JE-L34315

Electrocardiograms

JE · Effective Oct 1, 2015

LCD · NORIDIAN-JF-L34315

Electrocardiograms

JF · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L33438

Octreotide Acetate for Injectable Suspension (SandostatinÂ® LAR Depot)

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L33438

Octreotide Acetate for Injectable Suspension (SandostatinÂ® LAR Depot)

JM · Effective Oct 1, 2015

LCD · NOVITAS-JH-L35434

Oximetry Services

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35434

Oximetry Services

Commercial payer policies listing T43.641A

1 policy from 1 payer

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

Anthem

Anthem policies listing T43.641A, with the code’s status in each
Policy	Effective	Status of T43.641A
Serum Iron TestingClinical Guideline · ANTHEM-CG-LAB-21	Apr 15, 2026	Covered