C80.1 coverage policies: Medicare and commercial payers

109 active Medicare policies list C80.1, 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 C80.1

Showing 100 of 109

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-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-L34417

CT of the Head

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L34417

CT of the Head

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 · NGS-J6-L40333

Erythropoiesis Stimulating Agents

Commercial payer policies listing C80.1

10 policies from 3 payers

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

Anthem

Anthem policies listing C80.1, with the code’s status in each
Policy	Effective	Status of C80.1
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
Hematopoietic Stem Cell Transplantation for Autoimmune Disease and Miscellaneous Solid TumorsPayerPolicy · ANTHEM-TRANS.00031	Jul 1, 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

Aetna

Liver and Other Neoplasms - Treatment ApproachesPayerPolicy · AETNA-CPB-0268	May 4, 2023	Covered
Tumor MarkersPayerPolicy · AETNA-CPB-0352	Mar 5, 2024	Covered
Varicella and Herpes Zoster VaccinesPayerPolicy · AETNA-CPB-0115	Mar 22, 2023	Covered

Liver and Other Neoplasms - Treatment ApproachesPayerPolicy · AETNA-CPB-0268

May 4, 2023

Covered

Tumor MarkersPayerPolicy · AETNA-CPB-0352

Mar 5, 2024

Covered

Varicella and Herpes Zoster VaccinesPayerPolicy · AETNA-CPB-0115

Mar 22, 2023

Covered

Policy	Effective	Status of C80.1
Concert Genetic Testing Oncology: Algorithmic AssaysPayerPolicy · AMBETTER-CONCERT-GENETIC-TESTING-ONCOLOGY-ALGORITHMIC-ASSAYS	Not recorded	Referenced
Concert Genetic Testing Oncology: Solid Tumor Molecular DiagnosticsPayerPolicy · AMBETTER-CONCERT-GENETIC-TESTING-ONCOLOGY-SOLID-TUMOR-MOLECULAR-DIAGNOSTICS	Not recorded	Referenced