19 commercial payer policies list 77399. 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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19 policies from 11 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 77399 |
|---|---|---|
| Charged-Particle (Proton) Radiotherapy | Oct 1, 2025 | Covered |
| Intensity Modulated Radiotherapy (IMRT) for Breast Cancer | Jan 1, 2026 | Covered |
| Intensity Modulated Radiotherapy (IMRT) for Tumors in Close Proximity to Organs at Risk | Jan 1, 2026 | Covered |
| Intensity Modulated Radiotherapy (IMRT) of the Central Nervous System (CNS), Head, Neck, and Thyroid | Jan 1, 2026 | Covered |
| Intensity Modulated Radiotherapy (IMRT) of the Thorax, Abdomen, Pelvis, and Extremities | Jan 1, 2026 | Covered |
| Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy for Tumors Outside of Intracranial, Skull Base, or Orbital Sites |
| Nov 1, 2025 |
| Covered |
| Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy of Intracranial, Skull Base, and Orbital Sites | Nov 1, 2025 | Covered |
|---|
| Policy | Effective | Status of 77399 |
|---|---|---|
| Cigna Commercial Radiation Oncology Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Policy | Effective | Status of 77399 |
|---|---|---|
| Cigna Commercial & Medicare Advantage Radiation Oncology Code List | Jan 1, 2026 | Prior auth required |
| Cigna OBM Radiation Oncology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 77399 |
|---|---|---|
| Electrophysiology-Guided Noninvasive Stereotactic Cardiac Radioablation | Jul 1, 2026 | Not covered |
| Policy | Effective | Status of 77399 |
|---|---|---|
| Radioembolization for Primary and Metastatic Tumors of the Liver | Nov 15, 2025 | Covered |
| Policy | Effective | Status of 77399 |
|---|---|---|
| Radioembolization for Primary and Metastatic Tumors of the Liver | Nov 15, 2025 | Covered |
| Policy | Effective | Status of 77399 |
|---|---|---|
| Radioembolization for Primary and Metastatic Tumors of the Liver | Nov 15, 2025 | Covered |
| Policy | Effective | Status of 77399 |
|---|---|---|
| Radioembolization for Primary and Metastatic Tumors of the Liver | Nov 15, 2025 | Covered |
| Policy | Effective | Status of 77399 |
|---|---|---|
| GHI/Emblem Non-City of New York & Medicare Radiation Oncology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 77399 |
|---|---|---|
| Radiation Therapy: Fractionation, Image-Guidance, and Special Services | Mar 1, 2026 | Covered |
| Policy | Effective | Status of 77399 |
|---|---|---|
| Radiation and Oncologic Procedures | Not recorded | Covered |