T85.318A coverage policies: Medicare and commercial

T85.318A coverage policies: Medicare and commercial payers

19 active Medicare policies list T85.318A, 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 T85.318A

LCD · CGS-J15-L34008

Computerized Corneal Topography

J15 · Effective Oct 1, 2015

LCD · CGS-J15-L33999

Corneal Pachymetry

J15 · Effective Oct 1, 2015

LCD · NGS-J6-L33630

Corneal Pachymetry

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L33630

Corneal Pachymetry

JK · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L34512

Corneal Pachymetry

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L34512

Corneal Pachymetry

JM · Effective Oct 1, 2015

LCD · NORIDIAN-JE-L37373

MRI and CT Scans of the Head and Neck

JE · Effective Oct 8, 2018

LCD · NORIDIAN-JF-L37373

MRI and CT Scans of the Head and Neck

JF · Effective Oct 8, 2018

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

Commercial payer policies listing T85.318A

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 T85.318A, with the code’s status in each
Policy	Effective	Status of T85.318A
Medically Necessary Optical HardwarePayerPolicy · AMBETTER-CP-VP-06	Not recorded	Covered

Anthem

Anthem policies listing T85.318A, with the code’s status in each
Policy	Effective	Status of T85.318A
Refractive SurgeryClinical Guideline · ANTHEM-CG-SURG-77	Jan 6, 2026	Covered