Biomarkers Overview
JH · Effective Oct 1, 2015
19 active Medicare policies list 81528, 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.
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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
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 81528 |
|---|---|---|
| Colonoscopy, Colorectal Cancer Screening, and Related Procedures | Aug 1, 2023 | Covered |
| Policy | Effective | Status of 81528 |
|---|---|---|
| Concert Genetic Testing Oncology: Cancer Screening and Surveillance | Not recorded | Referenced |
| Policy | Effective | Status of 81528 |
|---|---|---|
| Preventive Care Services | Oct 1, 2026 |
JM · Effective Oct 1, 2015
J5 · Effective Feb 16, 2017
J8 · Effective Feb 16, 2017
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
JL · Effective Jul 1, 2026
J9 · Effective Jul 1, 2026
| Covered |
| Policy | Effective | Status of 81528 |
|---|---|---|
| Colorectal Cancer Screening | Aug 31, 2026 | Covered |
| Policy | Effective | Status of 81528 |
|---|---|---|
| Analysis of Human DNA or RNA in Stool Samples as a Technique for Colorectal Cancer Screening | May 1, 2026 | Covered |