Billing and Coding: Independent Diagnostic Testing Facilities (IDTF)
National · Effective Aug 6, 2026
1 active Medicare policy lists 78305, and 10 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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National · Effective Aug 6, 2026
10 policies from 7 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 78305 |
|---|---|---|
| Musculoskeletal MSK Imaging Guidelines | Feb 15, 2019 | Covered with conditions |
| Pediatric and Special Populations Spine Imaging Guidelines | Feb 3, 2026 | Covered with conditions |
| Pediatric Spine Imaging Guidelines | Feb 1, 2024 | Covered with conditions |
| Policy | Effective | Status of 78305 |
|---|---|---|
| Sep 19, 2026 |
| Covered |
| Nuclear Medicine Imaging [for Wellpoint Massachusetts] | Sep 10, 2023 | Covered |
|---|
| Policy | Effective | Status of 78305 |
|---|---|---|
| Temporomandibular Joint Disorders | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 78305 |
|---|---|---|
| Temporomandibular Joint Disorders | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 78305 |
|---|---|---|
| Temporomandibular Joint Disorders | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 78305 |
|---|---|---|
| Temporomandibular Joint Disorders | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 78305 |
|---|---|---|
| EOCCO Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |