Superficial Radiation Therapy (SRT) for the Treatment of Nonmelanoma Skin Cancers (NMSC)
J15
5 active Medicare policies list 77401, and 16 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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J15
J6
JK
J5
J8
16 policies from 9 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 77401 |
|---|---|---|
| Breast Reduction Surgery and Gynecomastia Surgery | Mar 6, 2023 | Covered |
| Glaucoma Surgery | Mar 24, 2023 | Covered |
| Grenz Ray Therapy for Skin Disorders | Mar 29, 2023 | Covered |
| Knee Arthroplasty | Nov 20, 2023 | Covered |
| Obsolete and Unreliable Tests and Procedures | Jun 19, 2023 | Covered |
| Plantar Fasciitis Treatments | Apr 26, 2023 | Covered |
| Radiation Treatment for Selected Nononcologic Indications | Jul 27, 2023 | Covered |
|---|
| Policy | Effective | Status of 77401 |
|---|---|---|
| eviCore Radiation Oncology Coding Guidelines | Jan 1, 2021 | Covered with conditions |
| eviCore Radiation Therapy Coding Guidelines | Jan 1, 2019 | Covered with conditions |
| Policy | Effective | Status of 77401 |
|---|---|---|
| Radiation Therapy for Skin Cancer | Not recorded | Covered |
| Policy | Effective | Status of 77401 |
|---|---|---|
| Treatment of Keloids and Scar Revision | Jul 1, 2026 | Covered |
| Policy | Effective | Status of 77401 |
|---|---|---|
| Radiation Therapy (excludes Proton) | Apr 4, 2026 | Covered |
| Policy | Effective | Status of 77401 |
|---|---|---|
| Plantar Fasciitis Treatments | May 15, 2026 | Not covered |
| Policy | Effective | Status of 77401 |
|---|---|---|
| Health Partners Plans Radiation Therapy Code List | Jan 1, 2025 | Prior auth required |
| Policy | Effective | Status of 77401 |
|---|---|---|
| Superficial Radiation Therapy | Aug 3, 2026 | Covered |
| Policy | Effective | Status of 77401 |
|---|---|---|
| Radiation Therapy: Fractionation, Image-Guidance, and Special Services | Mar 1, 2026 | Covered |