Biomarkers Overview
JH · Effective Oct 1, 2015
28 active Medicare policies list 0045U, and 4 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 Jul 17, 2023
JH · Effective Jul 17, 2023
JL · Effective Jul 17, 2023
J15 · Effective Oct 1, 2015
JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
4 policies from 3 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 0045U |
|---|---|---|
| Predictive and Prognostic Polygenic Testing | Not recorded | Covered |
| Somatic Tumor Testing | Not recorded | Covered |
| Policy | Effective | Status of 0045U |
|---|---|---|
| Concert Genetic Testing Oncology: Algorithmic Assays | Not recorded | Referenced |
JM · Effective Oct 1, 2015
J5 · Effective Feb 16, 2017
J8 · Effective Feb 16, 2017
JE · Effective Mar 27, 2017
JF · Effective Mar 27, 2017
JJ · Effective Mar 6, 2017
JM · Effective Mar 6, 2017
J5 · Effective Sep 16, 2017
J8 · Effective Sep 16, 2017
J9 · Effective Oct 1, 2015
National · Effective Jan 1, 2026
National · Effective Jan 1, 2026
National · Effective Feb 5, 2026
J5 · Effective Apr 1, 2026
National · Effective Nov 25, 2021
J5 · Effective Oct 30, 2025
National · Effective Feb 5, 2026
JL · Effective Apr 1, 2026
J9 · Effective Apr 1, 2026
| Policy | Effective | Status of 0045U |
|---|---|---|
| Assays of Genetic Expression in Tumore Tissue as a Technique to Determine Breast Cancer Prognosis | Apr 1, 2026 | Covered |