D29.1 coverage policies: Medicare and commercial payers

35 active Medicare policies list D29.1, and 3 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 D29.1

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 · 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-L33461

Implantable Infusion Pump

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L33461

Implantable Infusion Pump

JM · Effective Oct 1, 2015

LCD · CGS-J15-L34090

Laser Ablation of the Prostate

J15 · Effective Oct 1, 2015

LCD · CGS-J15-L38997

MolDX: Molecular Biomarkers to Risk-Stratify Patients at Increased Risk for Prostate Cancer

J15 · Effective Jul 17, 2022

LCD · NORIDIAN-JE-L39005

MolDX: Molecular Biomarkers to Risk-Stratify Patients at Increased Risk for Prostate Cancer

JE · Effective Aug 8, 2022

LCD · NORIDIAN-JF-L39005

Commercial payer policies listing D29.1

3 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 D29.1, with the code’s status in each
Policy	Effective	Status of D29.1
Outpatient Urine CultureClinical Guideline · ANTHEM-CG-LAB-24	Jan 6, 2026	Covered
Transrectal UltrasonographyClinical Guideline · ANTHEM-CG-RAD-28	Apr 15, 2026	Covered

Aetna

Aetna policies listing D29.1, with the code’s status in each
Policy	Effective	Status of D29.1
Prostate Cancer ScreeningPayerPolicy · AETNA-CPB-0521	Jul 14, 2023	Covered