C57.9 coverage policies: Medicare and commercial payers

96 active Medicare policies list C57.9, 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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Medicare policies listing C57.9

LCD · NORIDIAN-JE-L34233

Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)

JE · Effective Oct 1, 2015

LCD · NORIDIAN-JF-L34233

Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)

JF · Effective Oct 1, 2015

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 · CGS-J15-L34037

Flow Cytometry

J15 · 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 · NORIDIAN-JE-L34215

Lab: Flow Cytometry

JE · Effective Oct 1, 2015

LCD · NORIDIAN-JF-L34215

Lab: Flow Cytometry

JF · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L34513

Commercial payer policies listing C57.9

5 policies from 2 payers

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

Anthem

Anthem policies listing C57.9, with the code’s status in each
Policy	Effective	Status of C57.9
Cancer Antigen 125 TestingClinical Guideline · ANTHEM-CG-LAB-32	Oct 1, 2026	Covered
Cancer Antigen 19-9 TestingClinical Guideline · ANTHEM-CG-LAB-35	Oct 1, 2026	Covered
Carcinoembryonic Antigen TestingClinical Guideline · ANTHEM-CG-LAB-33	Oct 1, 2026	Covered
Outpatient CystourethroscopyClinical Guideline · ANTHEM-CG-SURG-51	Jul 1, 2026	Covered

Aetna

Aetna policies listing C57.9, with the code’s status in each
Policy	Effective	Status of C57.9
Mohs Micrographic SurgeryPayerPolicy · AETNA-CPB-0383