C78.7 coverage policies: Medicare and commercial payers

119 active Medicare policies list C78.7, 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 C78.7

Showing 100 of 119

LCD · FIRST_COAST-L36767

Aortography and peripheral angiography

J9 · Effective Oct 31, 2016

LCD · NOVITAS-JH-L35396

Biomarkers for Oncology

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35396

Biomarkers for Oncology

JL · Effective Oct 1, 2015

LCD · CGS-J15-L33950

Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography

J15 · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L33457

Cardiac Radionuclide Imaging

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L33457

Cardiac Radionuclide Imaging

JM · Effective Oct 1, 2015

LCD · WPS-J5-L34614

Colonoscopy and Sigmoidoscopy-Diagnostic

J5 · Effective Oct 1, 2015

LCD · WPS-J8-L34614

Colonoscopy and Sigmoidoscopy-Diagnostic

J8 · Effective Oct 1, 2015

LCD · CGS-J15-L34005

Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy

J15 · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L34454

Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy

Commercial payer policies listing C78.7

10 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 C78.7, with the code’s status in each
Policy	Effective	Status of C78.7
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
Cryosurgical, Radiofrequency, Microwave, or Percutaneous Ethanol Ablation to Treat Solid Tumors in the LiverClinical Guideline · ANTHEM-CG-SURG-78	Apr 15, 2026	Covered
Hepzato Kit (melphalan hepatic delivery system)PayerPolicy · ANTHEM-MED.00150	Oct 1, 2026	Covered
HistotripsyPayerPolicy · ANTHEM-SURG.00165	Aug 27, 2026	Covered
Outpatient Alpha-Fetoprotein TestingClinical Guideline · ANTHEM-CG-LAB-26	Apr 15, 2026

Policy	Effective	Status of C78.7
Ablation of Hepatic LesionsPayerPolicy · AETNA-CPB-0274	Nov 9, 2023	Covered
Liver and Other Neoplasms - Treatment ApproachesPayerPolicy · AETNA-CPB-0268	May 4, 2023	Covered
Proton Beam, Neutron Beam, and Carbon Ion RadiotherapyPayerPolicy · AETNA-CPB-0270	Oct 3, 2023	Covered
Strontium Chloride Sr-89PayerPolicy · AETNA-CPB-0361	Dec 15, 2023	Covered