Lower Extremity Major Joint Replacement (Hip and Knee)
JH · Effective Oct 1, 2015
18 active Medicare policies list Z96.641, 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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JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
J9 · Effective Oct 1, 2015
J15 · Effective Mar 15, 2026
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J5 · Effective Oct 13, 2024
J8 · Effective Oct 13, 2024
National · Effective Oct 1, 2026
National · Effective Oct 1, 2026
2 policies from 1 payer
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of Z96.641 |
|---|---|---|
| Positron Emission Tomography (PET) | Sep 21, 2023 | Covered |
| Therapeutic Chairs | Jun 19, 2023 | Covered |
JL · Effective Jan 1, 2026
J9 · Effective Jun 25, 2026
National · Effective Oct 1, 2026
National · Effective Oct 1, 2026
National · Effective Aug 6, 2026
National · Effective Jan 1, 2026
J5 · Effective Aug 27, 2026
National · Effective Mar 15, 2026