B37.5 coverage policies: Medicare and commercial payers

20 active Medicare policies list B37.5, and 1 commercial payer policy lists 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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Medicare policies listing B37.5

LCD · PALMETTO-JJ-L34417

CT of the Head

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L34417

CT of the Head

JM · Effective Oct 1, 2015

LCD · NORIDIAN-JE-L34220

Lumbar MRI

JE · Effective Oct 1, 2015

LCD · NORIDIAN-JF-L34220

Lumbar MRI

JF · Effective Oct 1, 2015

LCD · CGS-J15-L39038

MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

J15 · Effective Apr 17, 2022

LCD · NORIDIAN-JE-L39001

MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

JE · Effective Apr 17, 2022

LCD · NORIDIAN-JF-L39001

MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

JF · Effective Apr 17, 2022

LCD · PALMETTO-JJ-L38988

MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

JJ · Effective Apr 17, 2022

LCD · PALMETTO-JM-L38988

MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

JM · Effective Apr 17, 2022

Commercial payer policies listing B37.5

1 policy from 1 payer

Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.

Cigna

Cigna policies listing B37.5, with the code’s status in each
Policy	Effective	Status of B37.5
Nucleic Acid Pathogen TestingPayerPolicy · CIGNA-0530	Aug 15, 2026	Covered

B37.5 coverage policies: Medicare and commercial payers

Medicare policies listing B37.5

CT of the Head

CT of the Head

Lumbar MRI

Lumbar MRI

MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

Commercial payer policies listing B37.5

Cigna

B37.5 coverage policies: Medicare and commercial payers

Medicare policies listing B37.5

CT of the Head

CT of the Head

Lumbar MRI

Lumbar MRI

MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

Commercial payer policies listing B37.5

Cigna

MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

MRI and CT Scans of the Head and Neck

MRI and CT Scans of the Head and Neck

Billing and Coding: CT of the Head

Billing and Coding: Lumbar MRI

Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

Billing and Coding: MRI and CT Scans of the Head and Neck