Lower Extremity Major Joint Replacement (Hip and Knee)
JH · Effective Oct 1, 2015
15 active Medicare policies list T84.428S, 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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JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
J9 · Effective Oct 1, 2015
J15 · Effective Mar 15, 2026
J5 · Effective Oct 13, 2024
J8 · Effective Oct 13, 2024
National · Effective Oct 1, 2026
National · Effective Oct 1, 2026
JL · Effective Jan 1, 2026
J9 · Effective Jun 25, 2026
1 policy from 1 payer
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of T84.428S |
|---|---|---|
| Intraoperative Monitoring | Sep 15, 2025 | Covered |
National · Effective Oct 1, 2026
National · Effective Oct 1, 2026
National · Effective Aug 6, 2026
J5 · Effective Aug 27, 2026
National · Effective Mar 15, 2026