C72.20 coverage policies: Medicare and commercial payers

75 active Medicare policies list C72.20, 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 C72.20

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 · NOVITAS-JH-L35003

Intraoperative Neurophysiological Testing

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35003

Intraoperative Neurophysiological Testing

JL · Effective Oct 1, 2015

LCD · NORIDIAN-JE-L38972

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

JE · Effective Aug 8, 2022

LCD · NORIDIAN-JF-L38972

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

JF · Effective Aug 8, 2022

LCD · PALMETTO-JJ-L38966

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

JJ · Effective Jul 3, 2022

LCD · PALMETTO-JM-L38966

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

JM · Effective Jul 3, 2022

LCD · WPS-J5-L39040

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

Commercial payer policies listing C72.20

1 policy from 1 payer

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

Aetna

Aetna policies listing C72.20, with the code’s status in each
Policy	Effective	Status of C72.20
Intraoperative Radiation Therapy (IORT)PayerPolicy · AETNA-CPB-0721	Sep 22, 2023	Covered