Biomarkers for Oncology
JH · Effective Oct 1, 2015
35 active Medicare policies list 81313, and 4 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
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 Jul 17, 2022
JE · Effective Aug 8, 2022
4 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 81313 |
|---|---|---|
| Prostate Cancer Screening | Jul 14, 2023 | Covered |
| Policy | Effective | Status of 81313 |
|---|---|---|
| Concert Genetic Testing Oncology: Algorithmic Assays | Not recorded | Referenced |
| Policy | Effective | Status of 81313 |
|---|---|---|
| Predictive and Prognostic Polygenic Testing |
JF · Effective Aug 8, 2022
JJ · Effective Jul 3, 2022
JM · Effective Jul 3, 2022
J5 · Effective Jul 3, 2022
J8 · Effective Jul 3, 2022
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
J9 · Effective Oct 1, 2015
J6 · Effective Apr 1, 2026
JL · Effective Apr 24, 2025
National · Effective Jun 25, 2026
National · Effective Jun 25, 2026
National · Effective Jun 25, 2026
J5 · Effective Jun 25, 2026
National · Effective Jul 1, 2026
National · Effective Jul 1, 2026
National · Effective Jul 1, 2026
J5 · Effective Jul 1, 2026
JL · Effective Jul 1, 2026
J9 · Effective Jul 1, 2026
J9 · Effective Jan 1, 2024
| Jun 14, 2026 |
| Covered |
| Policy | Effective | Status of 81313 |
|---|---|---|
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |