Biomarkers Overview
JH · Effective Oct 1, 2015
32 active Medicare policies list 81265, and 59 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 · Effective Oct 1, 2015
JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
59 policies from 6 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Showing 10 of 14 · All BCBS Illinois policies
| Policy | Effective | Status of 81265 |
|---|---|---|
| Hematopoietic Cell Transplantation for Acute Lymphoblastic Leukemia | Sep 1, 2026 | Covered |
| Hematopoietic Cell Transplantation for Acute Myeloid Leukemia | Aug 15, 2026 | Covered |
| Hematopoietic Cell Transplantation for Breast Cancer | May 1, 2026 | Covered |
| Hematopoietic Cell Transplantation for Chronic Lymphocytic Leukemia (CLL) and Small Lymphocytic Lymphoma (SLL) | May 15, 2026 | Covered |
| Hematopoietic Cell Transplantation for Chronic Myeloid Leukemia | Jun 15, 2026 | Covered |
JM · Effective Oct 1, 2015
J5 · Effective Feb 16, 2017
J8 · Effective Feb 16, 2017
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 Jul 1, 2026
National · Effective Jul 1, 2026
National · Effective Jul 1, 2026
J5 · Effective Jul 1, 2026
National · Effective Apr 4, 2024
National · Effective Apr 4, 2024
J5 · Effective Apr 30, 2026
National · Effective Feb 19, 2026
JL · Effective Jul 1, 2026
J9 · Effective Jul 1, 2026
J6 · Effective Jul 15, 2026
J9 · Effective Jan 1, 2024
| Hematopoietic Cell Transplantation for Epithelial Ovarian Cancer | May 1, 2026 | Covered |
|---|
| Hematopoietic Cell Transplantation for Genetic Diseases and Acquired Anemias | Jun 15, 2026 | Covered |
|---|
| Hematopoietic Cell Transplantation for Hodgkin Lymphoma | Apr 15, 2026 | Covered |
|---|
| Hematopoietic Cell Transplantation for Miscellaneous Solid Tumors in Adults | Aug 15, 2026 | Covered |
|---|
| Hematopoietic Cell Transplantation for Non-Hodgkin Lymphomas | May 1, 2026 | Covered |
|---|
Showing 10 of 14 · All BCBS Montana policies
| Policy | Effective | Status of 81265 |
|---|---|---|
| Hematopoietic Cell Transplantation for Acute Lymphoblastic Leukemia | Sep 1, 2026 | Covered |
| Hematopoietic Cell Transplantation for Acute Myeloid Leukemia | Aug 15, 2026 | Covered |
| Hematopoietic Cell Transplantation for Breast Cancer | May 1, 2026 | Covered |
| Hematopoietic Cell Transplantation for Chronic Lymphocytic Leukemia (CLL) and Small Lymphocytic Lymphoma (SLL) | May 15, 2026 | Covered |
| Hematopoietic Cell Transplantation for Chronic Myeloid Leukemia | Jun 15, 2026 | Covered |
| Hematopoietic Cell Transplantation for Epithelial Ovarian Cancer | May 1, 2026 | Covered |
| Hematopoietic Cell Transplantation for Genetic Diseases and Acquired Anemias | Jun 15, 2026 | Covered |
| Hematopoietic Cell Transplantation for Hodgkin Lymphoma | Apr 15, 2026 | Covered |
| Hematopoietic Cell Transplantation for Miscellaneous Solid Tumors in Adults | Aug 15, 2026 | Covered |
| Hematopoietic Cell Transplantation for Non-Hodgkin Lymphomas | May 1, 2026 | Covered |
Showing 10 of 14 · All BCBS New Mexico policies
| Policy | Effective | Status of 81265 |
|---|---|---|
| Hematopoietic Cell Transplantation for Acute Lymphoblastic Leukemia | Sep 1, 2026 | Covered |
| Hematopoietic Cell Transplantation for Acute Myeloid Leukemia | Aug 15, 2026 | Covered |
| Hematopoietic Cell Transplantation for Breast Cancer | May 1, 2026 | Covered |
| Hematopoietic Cell Transplantation for Chronic Lymphocytic Leukemia (CLL) and Small Lymphocytic Lymphoma (SLL) | May 15, 2026 | Covered |
| Hematopoietic Cell Transplantation for Chronic Myeloid Leukemia | Jun 15, 2026 | Covered |
| Hematopoietic Cell Transplantation for Epithelial Ovarian Cancer | May 1, 2026 | Covered |
| Hematopoietic Cell Transplantation for Genetic Diseases and Acquired Anemias | Jun 15, 2026 | Covered |
| Hematopoietic Cell Transplantation for Hodgkin Lymphoma | Apr 15, 2026 | Covered |
| Hematopoietic Cell Transplantation for Miscellaneous Solid Tumors in Adults | Aug 15, 2026 | Covered |
| Hematopoietic Cell Transplantation for Non-Hodgkin Lymphomas | May 1, 2026 | Covered |
Showing 10 of 14 · All BCBS Oklahoma policies
| Policy | Effective | Status of 81265 |
|---|---|---|
| Hematopoietic Cell Transplantation for Acute Lymphoblastic Leukemia | Sep 1, 2026 | Covered |
| Hematopoietic Cell Transplantation for Acute Myeloid Leukemia | Aug 15, 2026 | Covered |
| Hematopoietic Cell Transplantation for Breast Cancer | May 1, 2026 | Covered |
| Hematopoietic Cell Transplantation for Chronic Lymphocytic Leukemia (CLL) and Small Lymphocytic Lymphoma (SLL) | May 15, 2026 | Covered |
| Hematopoietic Cell Transplantation for Chronic Myeloid Leukemia | Jun 15, 2026 | Covered |
| Hematopoietic Cell Transplantation for Epithelial Ovarian Cancer | May 1, 2026 | Covered |
| Hematopoietic Cell Transplantation for Genetic Diseases and Acquired Anemias | Jun 15, 2026 | Covered |
| Hematopoietic Cell Transplantation for Hodgkin Lymphoma | Apr 15, 2026 | Covered |
| Hematopoietic Cell Transplantation for Miscellaneous Solid Tumors in Adults | Aug 15, 2026 | Covered |
| Hematopoietic Cell Transplantation for Non-Hodgkin Lymphomas | May 1, 2026 | Covered |
| Policy | Effective | Status of 81265 |
|---|---|---|
| Concert Genetic Testing: Identity and Forensics | Not recorded | Referenced |
| Concert Genetic Testing: Prenatal Diagnosis | Not recorded | Referenced |
| Policy | Effective | Status of 81265 |
|---|---|---|
| Genetic Testing for Diagnosis of Inherited Conditions | Sep 1, 2026 | Covered |