Biomarkers Overview
JH · Effective Oct 1, 2015
19 active Medicare policies list 0242U, and 8 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
8 policies from 6 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 0242U |
|---|---|---|
| Genetic Liquid Biopsy in the Management of Cancer and Cancer Surveillance | Aug 22, 2026 | Covered |
| Genetic Liquid Biopsy in the Management of Cancer and Cancer Surveillance | Jun 14, 2026 | Covered |
| Somatic Tumor Testing | Nov 15, 2025 | Covered |
JM · Effective Oct 1, 2015
J5 · Effective Feb 16, 2017
J8 · Effective Feb 16, 2017
J9 · Effective Oct 1, 2015
National · Effective Jul 1, 2026
National · Effective Jul 1, 2026
National · Effective Jul 1, 2026
J5 · Effective Jul 1, 2026
JL · Effective Jul 1, 2026
J9 · Effective Jul 1, 2026
| Policy | Effective | Status of 0242U |
|---|
| Concert Genetic Testing Oncology: Solid Tumor Molecular Diagnostics | Not recorded | Referenced |
|---|
| Policy | Effective | Status of 0242U |
|---|---|---|
| Circulating Tumor DNA and Circulating Tumor Cells for Management (Liquid Biopsy) of Solid Tumor Cancers | Jul 1, 2026 | Covered |
| Policy | Effective | Status of 0242U |
|---|---|---|
| FDA Cleared or Approved Companion Diagnostic Testing | Jul 1, 2026 | Covered |
| Policy | Effective | Status of 0242U |
|---|---|---|
| FDA Cleared or Approved Companion Diagnostic Testing | Jul 1, 2026 | Covered |
| Policy | Effective | Status of 0242U |
|---|---|---|
| FDA Cleared or Approved Companion Diagnostic Testing | Jul 1, 2026 | Covered |