C62.92 coverage policies: Medicare and commercial payers

83 active Medicare policies list C62.92, and 10 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 C62.92

LCD · PALMETTO-JJ-L33459

Computerized Axial Tomography (CT), Thorax

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L33459

Computerized Axial Tomography (CT), Thorax

JM · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L34415

CT of the Abdomen and Pelvis

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L34415

CT of the Abdomen and Pelvis

JM · 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-L34356

Erythropoiesis Stimulating Agents (ESA)

J15 · Effective Oct 1, 2015

LCD · CGS-J15-L40386

Erythropoiesis Stimulating Agents (ESA)

J15

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

Commercial payer policies listing C62.92

10 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 C62.92, with the code’s status in each
Policy	Effective	Status of C62.92
Hematopoietic Cell Transplantation for Testicular CancerPayerPolicy · AETNA-CPB-0617	Sep 11, 2023	Covered
Hyperthermia in Cancer TherapyPayerPolicy · AETNA-CPB-0278	Feb 9, 2024	Covered
Non-myeloablative Hematopoietic Cell Transplantation (Mini-Allograft / Reduced Intensity Conditioning Transplant)PayerPolicy · AETNA-CPB-0634	Feb 20, 2024	Covered
Pharmacogenetic and Pharmacodynamic TestingPayerPolicy · AETNA-CPB-0715	Feb 27, 2024	Covered
Proton Beam, Neutron Beam, and Carbon Ion RadiotherapyPayerPolicy · AETNA-CPB-0270	Oct 3, 2023	Covered
Tumor MarkersPayerPolicy · AETNA-CPB-0352	Mar 5, 2024

Policy	Effective	Status of C62.92
Hematopoietic Stem Cell Transplantation for Germ Cell TumorsPayerPolicy · ANTHEM-TRANS.00030	Jan 6, 2026	Covered
Human Chorionic Gonadotropin TestingClinical Guideline · ANTHEM-CG-LAB-27	Apr 15, 2026	Covered
Outpatient Alpha-Fetoprotein TestingClinical Guideline · ANTHEM-CG-LAB-26	Apr 15, 2026	Covered
Scrotal UltrasoundClinical Guideline · ANTHEM-CG-RAD-27	Apr 15, 2026	Covered