8 commercial payer policies list 84112. 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.
8 policies from 7 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 84112 |
|---|---|---|
| Fetal Fibronectin, Inflammatory Biomarkers, and Salivary Hormone Testing for Preterm Labor | Apr 6, 2023 | Covered |
| Non-Invasive Fetal Membranes Rupture Tests | Oct 17, 2023 | Covered |
| Policy | Effective | Status of 84112 |
|---|---|---|
| Rupture of Membranes Testing in Pregnancy | Oct 1, 2026 | Not covered |
| Policy | Effective | Status of 84112 |
|---|---|---|
| Tests for Amniotic Protein to Detect Rupture of Membranes (ROM) in Pregnancy | Jun 15, 2026 | Covered |
| Policy | Effective | Status of 84112 |
|---|---|---|
| Tests for Amniotic Protein to Detect Rupture of Membranes (ROM) in Pregnancy | Jun 15, 2026 | Covered |
| Policy | Effective | Status of 84112 |
|---|---|---|
| Tests for Amniotic Protein to Detect Rupture of Membranes (ROM) in Pregnancy | Jun 15, 2026 | Covered |
| Policy | Effective | Status of 84112 |
|---|---|---|
| Tests for Amniotic Protein to Detect Rupture of Membranes (ROM) in Pregnancy | Jun 15, 2026 | Covered |
| Policy | Effective | Status of 84112 |
|---|---|---|
| Placental Rapid Immunoassay for Detection of Fetal Membrane Rupture | Apr 1, 2026 | Covered |