Biomarkers Overview
JH · Effective Oct 1, 2015
33 active Medicare policies list 81455, 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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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
J6 · Effective Aug 1, 2018
JK · Effective Aug 1, 2018
J6 · Effective Apr 1, 2019
JK · Effective Apr 1, 2019
11 policies from 9 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 81455 |
|---|---|---|
| Concert Genetic Testing Oncology: Hematologic Malignancy | Not recorded | Referenced |
| Concert Genetic Testing Oncology: Solid Tumor Molecular Diagnostics | Not recorded | Referenced |
| Policy | Effective | Status of 81455 |
|---|---|---|
| Expanded Molecular Testing of Cancers to Select Targeted Therapies | Jul 1, 2026 | Covered |
| Genetic Testing for Myeloid Neoplasms and Leukemia |
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
JE · Effective May 17, 2020
JF · Effective May 17, 2020
JJ · Effective Feb 10, 2020
JM · Effective Feb 10, 2020
JE · Effective May 17, 2020
JF · Effective May 17, 2020
JJ · Effective Feb 10, 2020
JM · Effective Feb 10, 2020
J9 · Effective Oct 1, 2015
J6 · Effective Aug 7, 2025
J6 · Effective Feb 26, 2026
National · Effective Jan 1, 2026
National · Effective Jan 1, 2026
National · Effective Feb 5, 2026
J5 · Effective Apr 1, 2026
JL · Effective Apr 1, 2026
J9 · Effective Apr 1, 2026
| Jun 1, 2026 |
| Covered |
| Policy | Effective | Status of 81455 |
|---|---|---|
| Tumor Markers | Mar 5, 2024 | Covered |
| Policy | Effective | Status of 81455 |
|---|---|---|
| Whole Exome Sequencing and Whole Genome Sequencing | Not recorded | Covered |
| Policy | Effective | Status of 81455 |
|---|---|---|
| Cigna Comprehensive Code List - Effective 03/07/2026 | Mar 7, 2026 | Prior auth required |
| Policy | Effective | Status of 81455 |
|---|---|---|
| Genomic and Molecular Biomarker Testing for Cancer | Sep 23, 2026 | Covered |
| Policy | Effective | Status of 81455 |
|---|---|---|
| Molecular Oncology Testing for Hematologic Cancer Diagnosis, Prognosis, and Treatment Decisions | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 81455 |
|---|---|---|
| Molecular Oncology Testing for Hematologic Cancer Diagnosis, Prognosis, and Treatment Decisions | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 81455 |
|---|---|---|
| Molecular Oncology Testing for Hematologic Cancer Diagnosis, Prognosis, and Treatment Decisions | Aug 1, 2026 | Covered |