Billing and Coding: Independent Diagnostic Testing Facilities (IDTF)
National · Effective Aug 6, 2026
1 active Medicare policy lists 78804, and 8 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
8 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 78804 |
|---|---|---|
| Nuclear Medicine Imaging | Sep 19, 2026 | Covered |
| Nuclear Medicine Imaging [for Wellpoint Massachusetts] | Sep 10, 2023 | Covered |
| Theranostics (Therapeutic Radiopharmaceuticals) | Apr 4, 2026 | Covered |
| Policy | Effective | Status of 78804 |
|---|---|---|
| Feb 3, 2026 |
| Covered with conditions |
| Pediatric Chest Imaging | Feb 15, 2023 | Covered |
|---|
| Pediatric Oncology Imaging Guidelines | Mar 1, 2022 | Covered with conditions |
|---|
| Policy | Effective | Status of 78804 |
|---|---|---|
| EOCCO Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 78804 |
|---|---|---|
| Radiologic Diagnostic Procedures | Not recorded | Covered |