Drugs and Biologicals, Coverage of, for Label and Off-Label Uses
J6 · Effective Oct 1, 2015
11 active Medicare policies list D59.5, and 4 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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J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
J15 · Effective Oct 1, 2015
JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J6 · Effective Oct 1, 2025
National · Effective Mar 5, 2026
National · Effective Oct 1, 2025
4 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 D59.5 |
|---|---|---|
| Flow Cytometry, Ektacytometry, DNA Ploidy, and S-phase Fraction | Jun 5, 2023 | Covered |
| Non-myeloablative Hematopoietic Cell Transplantation (Mini-Allograft / Reduced Intensity Conditioning Transplant) | Feb 20, 2024 | Covered |
| Policy | Effective | Status of D59.5 |
|---|---|---|
| Hematopoietic Stem Cell Transplantation for Genetic Diseases and Aplastic Anemias | May 28, 2026 | Covered |
| Policy | Effective |
|---|
National · Effective Nov 6, 2025
| Status of D59.5 |
|---|
| Flow Cytometry | Sep 15, 2026 | Covered |
|---|