Biomarkers Overview
JH · Effective Oct 1, 2015
53 active Medicare policies list 81240, 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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JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
J9 · Effective Jul 17, 2023
JH · Effective Jul 17, 2023
JL · Effective Jul 17, 2023
J15
J5
J8
J15 · Effective Oct 1, 2015
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 81240 |
|---|---|---|
| Infertility | Feb 15, 2024 | Covered |
| Liver Transplantation | Aug 9, 2023 | Covered |
| Recurrent Pregnancy Loss | Feb 15, 2024 | Covered |
| Policy | Effective | Status of 81240 |
|---|---|---|
| Genetic Testing for Inherited Conditions | Not recorded | Covered |
JE · Effective Jun 16, 2016
JF · Effective Jun 16, 2016
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J5 · Effective Apr 16, 2016
J8 · Effective Apr 16, 2016
J15 · Effective Oct 1, 2015
JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J5 · Effective Feb 16, 2017
J8 · Effective Feb 16, 2017
J15 · Effective Jun 7, 2020
JE · Effective Aug 3, 2020
JF · Effective Aug 3, 2020
JJ · Effective May 31, 2020
JM · Effective May 31, 2020
J5 · Effective Jun 14, 2020
J8 · Effective Jun 14, 2020
J9 · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
JH · Effective Dec 12, 2021
JL · Effective Dec 12, 2021
JL · Effective Jan 1, 2024
National · Effective Jun 19, 2025
National · Effective Jan 22, 2026
National · Effective Nov 7, 2024
J5 · Effective Nov 7, 2024
National · Effective Jan 1, 2026
National · Effective Jan 1, 2026
National · Effective Feb 5, 2026
J5 · Effective Apr 1, 2026
J5 · Effective Apr 1, 2026
National · Effective Jan 1, 2026
National · Effective Feb 5, 2026
National · Effective Jan 1, 2026
JL · Effective Apr 1, 2026
J9 · Effective Apr 1, 2026
J6 · Effective Feb 12, 2026
J9 · Effective Jan 1, 2024
| Genetic Testing for Inherited Conditions |
|---|
| Not recorded |
| Covered |
| Pharmacogenetic Testing | Not recorded | Covered |
|---|
| Policy | Effective | Status of 81240 |
|---|---|---|
| Concert Genetic Testing: Hematology | Not recorded | Referenced |
| Policy | Effective | Status of 81240 |
|---|---|---|
| Genetic and Coagulation Testing for Noncancer Blood Disorders | Feb 2, 2026 | Covered |