Biomarkers Overview
JH · Effective Oct 1, 2015
35 active Medicare policies list 81338, and 5 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.
Free account. Policy pages stay open to everyone.
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
5 policies from 5 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 81338 |
|---|---|---|
| Tumor Markers | Mar 5, 2024 | Covered |
| Policy | Effective | Status of 81338 |
|---|---|---|
| Concert Genetic Testing Oncology: Hematologic Malignancy | Not recorded | Referenced |
| Policy | Effective | Status of 81338 |
|---|---|---|
| Hereditary Cancer Testing |
JM · Effective Oct 1, 2015
J5 · Effective Feb 16, 2017
J8 · Effective Feb 16, 2017
J15 · Effective Aug 17, 2025
JE · Effective Aug 17, 2025
JF · Effective Aug 17, 2025
JJ · Effective Aug 17, 2025
JM · Effective Aug 17, 2025
J5 · Effective Aug 17, 2025
J8 · Effective Aug 17, 2025
J9 · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
National · Effective Jul 1, 2026
National · Effective Jul 1, 2026
National · Effective Jul 1, 2026
J5 · Effective Jul 1, 2026
National · Effective Nov 20, 2025
National · Effective Feb 5, 2026
National · Effective Nov 20, 2025
J5 · Effective Nov 20, 2025
JL · Effective Jul 1, 2026
J9 · Effective Jul 1, 2026
J6 · Effective Jul 15, 2026
| Apr 4, 2026 |
| Covered |
| Policy | Effective | Status of 81338 |
|---|---|---|
| Molecular and Proteomic Diagnostic Testing for Hematology and Oncology Indications | Sep 13, 2026 | Covered |
| Policy | Effective | Status of 81338 |
|---|---|---|
| Genetic Testing for Myeloid Neoplasms and Leukemia | Jun 1, 2026 | Covered |