Biomarkers Overview
JH · Effective Oct 1, 2015
30 active Medicare policies list 81513, 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 · Effective Oct 1, 2015
JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
8 policies from 6 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 81513 |
|---|---|---|
| Diagnosis of Vaginitis | Jan 3, 2024 | Covered |
| Polymerase Chain Reaction Testing: Selected Indications | Feb 9, 2024 | Covered |
| Policy | Effective | Status of 81513 |
|---|---|---|
| Multiplex Pathogen Identification Panels for Infectious Disease | Jun 29, 2026 | Covered |
| Multiplex Pathogen Identification Panels for Infectious Disease |
JM · Effective Oct 1, 2015
J5 · Effective Feb 16, 2017
J8 · Effective Feb 16, 2017
J15 · Effective Apr 17, 2022
JE · Effective Apr 17, 2022
JF · Effective Apr 17, 2022
JJ · Effective Apr 17, 2022
JM · Effective Apr 17, 2022
J5 · Effective Apr 17, 2022
J8 · Effective Apr 17, 2022
J9 · 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 Aug 6, 2026
National · Effective Aug 6, 2026
National · Effective May 14, 2026
J5 · Effective Aug 6, 2026
JL · Effective Jul 1, 2026
J9 · Effective Jul 1, 2026
| Nov 3, 2025 |
| Covered |
| Policy | Effective | Status of 81513 |
|---|---|---|
| Testing for Select Genitourinary Conditions | Not recorded | Covered |
| Policy | Effective | Status of 81513 |
|---|---|---|
| Nucleic Acid Amplification Tests Using Algorithmic Analysis for the Diagnosis of Vaginitis | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 81513 |
|---|---|---|
| Nucleic Acid Pathogen Testing | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 81513 |
|---|---|---|
| Urogenital/Anogenital (UG/AG) Panels | Not recorded | Covered |