6 commercial payer policies list 77014. 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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6 policies from 4 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 77014 |
|---|---|---|
| eviCore Radiation Oncology Coding GuidelinesEffective 01/01/2021 - 08/04/2022 | Jan 1, 2021 | Covered with conditions |
| eviCore Radiation Therapy Coding GuidelinesEffective 01/01/2019 - 12/31/2019 | Jan 1, 2019 | Covered with conditions |
| Pediatric and Special Populations Spine Imaging Guidelines | Feb 3, 2026 | Covered with conditions |
| Policy | Effective | Status of 77014 |
|---|---|---|
| Radiation Therapy Excludes Proton | Apr 4, 2026 | Covered |
| Policy | Effective | Status of 77014 |
|---|---|---|
| Health Alliance Plan Radiology Code List | Aug 1, 2026 | Prior auth required |
| Policy | Effective | Status of 77014 |
|---|---|---|
| Health Partners Plans Radiation Therapy Code List | Jan 1, 2025 | Prior auth required |