Category III Codes
J5 · Effective Oct 1, 2015
15 active Medicare policies list Z68.1, 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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J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
J15 · Effective Apr 1, 2020
J9 · Effective Mar 15, 2020
J6 · Effective Apr 1, 2020
JK · Effective Apr 1, 2020
JE · Effective Mar 15, 2020
JF · Effective Mar 15, 2020
JH · Effective Mar 15, 2020
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 Z68.1 |
|---|---|---|
| Gastroesophageal Reflux Disease (GERD) | Apr 25, 2023 | Covered |
JL · Effective Mar 15, 2020
J5 · Effective Jun 14, 2020
J8 · Effective Jun 14, 2020
JL · Effective Jan 1, 2022
J9 · Effective Jan 1, 2022
National · Effective Mar 5, 2026