4Kscore Test Algorithm
J9 · Effective Mar 18, 2019
25 active Medicare policies list 81539, 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.
J9 · Effective Mar 18, 2019
JH · Effective Mar 21, 2019
JL · Effective Mar 21, 2019
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
5 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 81539 |
|---|---|---|
| Prostate Cancer Screening | Jul 14, 2023 | Covered |
| Tumor Markers | Mar 5, 2024 | Covered |
| Policy | Effective | Status of 81539 |
|---|---|---|
| Concert Genetic Testing Oncology: Algorithmic Assays | Not recorded | Referenced |
| Policy | Effective | Status of 81539 |
|---|
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
J9 · Effective Apr 29, 2024
JL · Effective Apr 29, 2024
J6 · Effective Apr 1, 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
| Protein Biomarkers for the Screening, Detection and Management of Prostate Cancer | Oct 1, 2026 | Not covered |
|---|
| Policy | Effective | Status of 81539 |
|---|---|---|
| Molecular Biomarkers for Prostate Cancer Risk Stratification | Oct 1, 2025 | Covered |