MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer
JE · Effective Aug 8, 2022
11 active Medicare policies list D09.9, and 15 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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JE · Effective Aug 8, 2022
JF · Effective Aug 8, 2022
JJ · Effective Jul 3, 2022
JM · Effective Jul 3, 2022
J5 · Effective Jul 3, 2022
J8 · Effective Jul 3, 2022
J9 · Effective Oct 1, 2015
National · Effective Jan 1, 2026
15 policies from 3 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of D09.9 |
|---|---|---|
| Adoptive Immunotherapy and Cellular Therapy | Sep 13, 2023 | Covered |
| Calcitriol, Etelcalcetide, and Paricalcitol Injections | Feb 1, 2024 | Covered |
| Cancer Vaccines | Aug 10, 2023 | Covered |
| Infrared Therapy | Sep 8, 2023 | Covered |
| Pancreas Kidney Transplantation | Aug 30, 2023 | Covered |
| Proton Beam, Neutron Beam, and Carbon Ion Radiotherapy | Oct 3, 2023 | Covered |
National · Effective Feb 5, 2026
J5 · Effective Jan 1, 2026
National · Effective Oct 30, 2025
| Spinal Cord Stimulation | Jul 13, 2023 | Covered |
|---|
| Strontium Chloride Sr-89 | Dec 15, 2023 | Covered |
|---|
| Varicella and Herpes Zoster Vaccines | Mar 22, 2023 | Covered |
|---|
| Policy | Effective | Status of D09.9 |
|---|---|---|
| Cosmetic and Reconstructive Services: Skin Related | Jan 6, 2026 | Covered |
| Gamma Glutamyl Transferase Testing | Jul 1, 2026 | Covered |
| Serum Iron Testing | Apr 15, 2026 | Covered |
| Thyroid Testing | Apr 15, 2026 | Covered |
| Ultrasound Ablation for Oncologic Indications | Jan 6, 2026 | Covered |
| Policy | Effective | Status of D09.9 |
|---|---|---|
| Low-Level Laser and High-Power Laser Therapy | Mar 15, 2026 | Covered |