D51.0 coverage policies: Medicare and commercial payers

39 active Medicare policies list D51.0, and 5 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 D51.0

LCD · NOVITAS-JH-L34914

Assays for Vitamins and Metabolic Function

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L34914

Assays for Vitamins and Metabolic Function

JL · Effective Oct 1, 2015

LCD · CGS-J15-L34037

Flow Cytometry

J15 · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L34419

Homocysteine Level, Serum

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L34419

Homocysteine Level, Serum

JM · Effective Oct 1, 2015

LCD · CGS-J15-L38249

MolDX: Blood Product Molecular Antigen Typing

J15 · Effective Nov 1, 2020

LCD · NORIDIAN-JE-L38331

MolDX: Blood Product Molecular Antigen Typing

JE · Effective Dec 6, 2020

LCD · NORIDIAN-JF-L38331

MolDX: Blood Product Molecular Antigen Typing

JF · Effective Dec 6, 2020

LCD · PALMETTO-JJ-L38240

MolDX: Blood Product Molecular Antigen Typing

JJ · Effective Oct 25, 2020

LCD · PALMETTO-JM-L38240

MolDX: Blood Product Molecular Antigen Typing

Commercial payer policies listing D51.0

5 policies from 2 payers

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

Aetna

Aetna policies listing D51.0, with the code’s status in each
Policy	Effective	Status of D51.0
Extracorporeal Photochemotherapy (Photopheresis)PayerPolicy · AETNA-CPB-0241	Mar 29, 2023	Covered
Homocysteine TestingPayerPolicy · AETNA-CPB-0763	Oct 26, 2023	Covered
Non-myeloablative Hematopoietic Cell Transplantation (Mini-Allograft / Reduced Intensity Conditioning Transplant)PayerPolicy · AETNA-CPB-0634	Feb 20, 2024	Covered
Upper Gastrointestinal Endoscopy and Gastrointestinal BiopsyPayerPolicy · AETNA-CPB-0738	Oct 4, 2023	Covered

Cigna

Cigna policies listing D51.0, with the code’s status in each
Policy	Effective	Status of D51.0
Serum Folate and Red Blood Cell Folate Testing