Multiple Imaging in Oncology
JH · Effective Oct 1, 2015
6 active Medicare policies list 78811, and 27 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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JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
J15 · Effective Aug 13, 2023
National · Effective Jan 1, 2026
JL · Effective Jan 1, 2025
National · Effective Jan 22, 2026
27 policies from 12 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 78811 |
|---|---|---|
| Imaging of the Brain | Not recorded | Covered |
| Imaging of the Brain | Not recorded | Covered |
| Imaging of the Chest | Not recorded | Covered |
| Imaging of the Chest | Not recorded | Covered |
| Imaging of the Extremities | Not recorded |
| Covered |
| Imaging of the Extremities | Not recorded | Covered |
|---|
| Imaging of the Spine | Not recorded | Covered |
|---|
| Imaging of the Spine | Not recorded | Covered |
|---|
| Oncologic Imaging | Not recorded | Covered |
|---|
| Oncologic Imaging | Not recorded | Covered |
|---|
| Policy | Effective | Status of 78811 |
|---|---|---|
| Aetna Cardiology and Radiology Code List - Effective 01/01/2026 | Jan 1, 2026 | Prior auth required |
| Complex Regional Pain Syndrome (CRPS): Diagnosis | Jul 13, 2023 | Covered |
| Lung Cancer Screening | Jun 21, 2023 | Covered |
| Positron Emission Tomography (PET) | Sep 21, 2023 | Covered |
| Policy | Effective | Status of 78811 |
|---|---|---|
| Cigna Commercial Radiology Code List - Effective 03/07/2026 | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List - Effective 03/07/2026 | Mar 7, 2026 | Prior auth required |
| Policy | Effective | Status of 78811 |
|---|---|---|
| Cigna Commercial & Medicare Cardiology & Radiology Code List - Effective 01/01/2026 | Jan 1, 2026 | Prior auth required |
| Cigna OBM Radiology Code List - Effective 01/01/2026 | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 78811 |
|---|---|---|
| 2025 Head - Amyloid AddendumEffective 11/25/2025 - 02/02/2026 | Nov 25, 2025 | Covered |
| Pediatric Peripheral Nerve Disorders (PND) Imaging GuidelinesEffective 02/01/2024 - 01/31/2025 | Feb 1, 2024 | Not covered |
| Policy | Effective | Status of 78811 |
|---|---|---|
| GHI/Emblem Non-City of New York & Medicare Radiology and Cardiology Code List - Effective 01/01/2026 | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 78811 |
|---|---|---|
| EOCCO Cardiology & Radiology Code List - Effective 01/01/2026 | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 78811 |
|---|---|---|
| Health Alliance Plan Radiology Code List - Effective 08/01/2026 | Aug 1, 2026 | Prior auth required |
| Policy | Effective | Status of 78811 |
|---|---|---|
| Health Partners Plans Cardiology, Radiology, and Ultrasound Code List – Effective 07/01/2025 | Jul 1, 2025 | Prior auth required |
| Policy | Effective | Status of 78811 |
|---|---|---|
| Breast Imaging | Jul 1, 2026 | Covered |
| Policy | Effective | Status of 78811 |
|---|---|---|
| The Health Plan Cardiology & Radiology Code List - Effective 01/01/2026 | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 78811 |
|---|---|---|
| Radiologic Diagnostic Procedures | Not recorded | Covered |