Multiple Imaging in Oncology
JH · Effective Oct 1, 2015
6 active Medicare policies list 78813, and 25 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 Aug 6, 2026
JL · Effective Jan 1, 2025
National · Effective Jan 22, 2026
25 policies from 11 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 78813 |
|---|---|---|
| Imaging of the Chest | Apr 4, 2026 | Covered |
| Imaging of the Chest | Mar 23, 2025 | Covered |
| Imaging of the Extremities | Sep 19, 2026 | Covered |
| Imaging of the Extremities | Nov 15, 2025 | Covered |
| Imaging of the Spine |
| Sep 19, 2026 |
| Covered |
| Imaging of the Spine | Nov 15, 2025 | Covered |
|---|
| Oncologic Imaging | Apr 4, 2026 | Covered |
|---|
| Oncologic Imaging | Nov 15, 2025 | Covered |
|---|
| Policy | Effective | Status of 78813 |
|---|---|---|
| Aetna Cardiology and Radiology Code List | Jan 1, 2026 | Prior auth required |
| Complex Regional Pain Syndrome (CRPS): Diagnosis | Jul 13, 2023 | Covered |
| Huntington's Disease | Sep 12, 2023 | Covered |
| Lung Cancer Screening | Jun 21, 2023 | Covered |
| Positron Emission Tomography (PET) | Sep 21, 2023 | Covered |
| Policy | Effective | Status of 78813 |
|---|---|---|
| Cigna Commercial Radiology Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Policy | Effective | Status of 78813 |
|---|---|---|
| Cigna Commercial & Medicare Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |
| Cigna OBM Radiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 78813 |
|---|---|---|
| Pediatric Oncology Imaging GuidelinesEffective 03/01/2022 - 09/30/2022 | Mar 1, 2022 | Covered with conditions |
| Pediatric Peripheral Nerve Disorders (PND) Imaging GuidelinesEffective 02/01/2024 - 01/31/2025 | Feb 1, 2024 | Not covered |
| Policy | Effective | Status of 78813 |
|---|---|---|
| GHI/Emblem Non-City of New York & Medicare Radiology and Cardiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 78813 |
|---|---|---|
| EOCCO Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 78813 |
|---|---|---|
| Health Alliance Plan Radiology Code List | Aug 1, 2026 | Prior auth required |
| Policy | Effective | Status of 78813 |
|---|---|---|
| Health Partners Plans Cardiology, Radiology, and Ultrasound Code List | Jul 1, 2025 | Prior auth required |
| Policy | Effective | Status of 78813 |
|---|---|---|
| The Health Plan Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 78813 |
|---|---|---|
| Radiologic Diagnostic Procedures | Not recorded | Covered |