3 commercial payer policies list D03. 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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3 policies from 1 payer
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of D03 |
|---|---|---|
| Comparative Genomic Hybridization (CGH) | Oct 11, 2023 | Covered |
| High Intensity Focused Ultrasound | Oct 11, 2023 | Covered |
| Pemetrexed Products | Feb 20, 2024 | Covered |