C50.529 coverage policies: Medicare and commercial

C50.529 coverage policies: Medicare and commercial payers

113 active Medicare policies list C50.529, and 2 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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Medicare policies listing C50.529

Showing 100 of 113

LCD · FIRST_COAST-L36499

BRCA1 and BRCA2 Genetic Testing

J9 · Effective Apr 11, 2016

LCD · NGS-J6-L33394

Drugs and Biologicals, Coverage of, for Label and Off-Label Uses

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L33394

Drugs and Biologicals, Coverage of, for Label and Off-Label Uses

JK · Effective Oct 1, 2015

LCD · NGS-J6-L37810

Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms

J6 · Effective Apr 1, 2019

LCD · NGS-JK-L37810

Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms

JK · Effective Apr 1, 2019

LCD · PALMETTO-JJ-L39387

Luteinizing Hormone-Releasing Hormone (LHRH) Analogs

JJ · Effective Feb 19, 2023

LCD · PALMETTO-JM-L39387

Luteinizing Hormone-Releasing Hormone (LHRH) Analogs

JM · Effective Feb 19, 2023

LCD · CGS-J15-L39017

MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer

J15 · Effective Aug 21, 2022

LCD · NORIDIAN-JE-L38972

MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer

JE · Effective Aug 8, 2022

Commercial payer policies listing C50.529

2 policies from 2 payers

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

Aetna

Aetna policies listing C50.529, with the code’s status in each
Policy	Effective	Status of C50.529
Tumor MarkersPayerPolicy · AETNA-CPB-0352	Mar 5, 2024	Covered

Anthem

Anthem policies listing C50.529, with the code’s status in each
Policy	Effective	Status of C50.529
Mastectomy for GynecomastiaClinical Guideline · ANTHEM-CG-SURG-88	Apr 15, 2026	Covered