Billing and Coding: Independent Diagnostic Testing Facilities (IDTF)
National · Effective Aug 6, 2026
1 active Medicare policy lists 78831, and 11 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
11 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 78831 |
|---|---|---|
| Oncology Imaging GuidelinesEffective 02/03/2026 - 08/31/2026 | Feb 3, 2026 | Covered with conditions |
| Pediatric and Special Populations Oncology Imaging GuidelinesEffective 02/03/2026 - 08/31/2026 | Feb 3, 2026 | Covered |
| Pediatric and Special Populations Spine Imaging Guidelines | Feb 3, 2026 | Covered with conditions |
| Pediatric Musculoskeletal Imaging GuidelinesEffective 02/03/2026 - 08/31/2026 | Feb 3, 2026 | Covered |
| Mar 1, 2022 |
| Covered with conditions |
| Pediatric Spine Imaging GuidelinesEffective 02/01/2024 - 01/31/2025 | Feb 1, 2024 | Covered with conditions |
|---|
| Policy | Effective | Status of 78831 |
|---|---|---|
| Nuclear Medicine Imaging | Sep 19, 2026 | Covered |
| Nuclear Medicine Imaging | Sep 10, 2023 | Covered |
| Spect Imaging | Oct 20, 2024 | Covered |
| Policy | Effective | Status of 78831 |
|---|---|---|
| EOCCO Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 78831 |
|---|---|---|
| Radiologic Diagnostic Procedures | Not recorded | Covered |