Billing and Coding: Independent Diagnostic Testing Facilities (IDTF)
National · Effective Aug 6, 2026
1 active Medicare policy lists 78803, and 19 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
19 policies from 8 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 78803 |
|---|---|---|
| Oncology Imaging Guidelines | Feb 3, 2026 | Covered with conditions |
| Pediatric and Special Populations Oncology Imaging Guidelines | Feb 3, 2026 | Covered |
| Pediatric and Special Populations Spine Imaging Guidelines | Feb 3, 2026 | Covered with conditions |
| Pediatric Cardiac Imaging Guidelines | Feb 3, 2026 | Covered with conditions |
| Pediatric Chest Imaging |
| Feb 15, 2023 |
| Covered |
| Pediatric Musculoskeletal Imaging Guidelines | Feb 3, 2026 | Covered |
|---|
| Pediatric Oncology Imaging Guidelines | Mar 1, 2022 | Covered with conditions |
|---|
| Pediatric Spine Imaging Guidelines | Feb 1, 2024 | Covered with conditions |
|---|
| Peripheral Vascular Disease (PVD) Imaging Guidelines | Feb 3, 2026 | Covered with conditions |
|---|
| Policy | Effective | Status of 78803 |
|---|---|---|
| Nuclear Medicine Imaging | Sep 19, 2026 | Covered |
| Nuclear Medicine Imaging [for Wellpoint Massachusetts] | Sep 10, 2023 | Covered |
| SPECT Imaging | Oct 20, 2024 | Covered |
| Theranostics (Therapeutic Radiopharmaceuticals) | Apr 4, 2026 | Covered |
| Policy | Effective | Status of 78803 |
|---|---|---|
| Attention Deficit Hyperactivity Disorder Assessment and Treatment | Not recorded | Covered |
| Policy | Effective | Status of 78803 |
|---|---|---|
| GHI/Emblem Non-City of New York & Medicare Radiology and Cardiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 78803 |
|---|---|---|
| EOCCO Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 78803 |
|---|---|---|
| Health Alliance Plan Radiology Code List | Aug 1, 2026 | Prior auth required |
| Policy | Effective | Status of 78803 |
|---|---|---|
| The Health Plan Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 78803 |
|---|---|---|
| Radiologic Diagnostic Procedures | Not recorded | Covered |