T50.995S coverage policies: Medicare and commercial payers

58 active Medicare policies list T50.995S, 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 T50.995S

LCD · FIRST_COAST-L37800

Allergen Immunotherapy

J9 · Effective Oct 18, 2018

LCD · NOVITAS-JH-L36240

Allergen Immunotherapy

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L36240

Allergen Immunotherapy

JL · Effective Oct 1, 2015

LCD · CGS-J15-L40325

Allergy Diagnostic Testing

J15

LCD · NGS-J6-L40329

Allergy Diagnostic Testing

LCD · NGS-JK-L40329

Allergy Diagnostic Testing

LCD · NORIDIAN-JE-L40324

Allergy Diagnostic Testing

JE · Effective Sep 27, 2026

LCD · NORIDIAN-JF-L40324

Allergy Diagnostic Testing

JF · Effective Sep 27, 2026

LCD · PALMETTO-JJ-L40328

Allergy Diagnostic Testing

JJ · Effective Sep 27, 2026

LCD · PALMETTO-JM-L40328

Allergy Diagnostic Testing

JM · Effective Sep 27, 2026

LCD · PALMETTO-JJ-L33417

Commercial payer policies listing T50.995S

1 policy from 1 payer

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

Aetna

Aetna policies listing T50.995S, with the code’s status in each
Policy	Effective	Status of T50.995S
Gonadotropin-Releasing Hormone Analogs and AntagonistsPayerPolicy · AETNA-CPB-0501	Jul 14, 2023	Covered