Biomarkers for Oncology
JH · Effective Oct 1, 2015
62 active Medicare policies list D61.9, and 7 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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JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
J15 · Effective Oct 1, 2015
J6 · Effective Aug 1, 2018
JK · Effective Aug 1, 2018
JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J15 · Effective Dec 26, 2021
7 policies from 4 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of D61.9 |
|---|---|---|
| Genetic Testing | Feb 27, 2024 | Covered |
| Romiplostim (Nplate) | Jan 9, 2024 | Covered |
| Policy | Effective | Status of D61.9 |
|---|---|---|
| Concert Genetic Testing: Hematology | Not recorded | Referenced |
| Polymerase Chain Reaction Respiratory Viral Panel Testing | Not recorded | Covered |
JE · Effective Jan 2, 2022
JF · Effective Jan 2, 2022
JJ · Effective Dec 26, 2021
JM · Effective Dec 26, 2021
J5 · Effective Dec 26, 2021
J8 · Effective Dec 26, 2021
J15 · Effective Apr 17, 2022
JE · Effective Apr 17, 2022
JF · Effective Apr 17, 2022
JJ · Effective Apr 17, 2022
JM · Effective Apr 17, 2022
J5 · Effective Apr 17, 2022
J8 · Effective Apr 17, 2022
J15 · Effective Feb 10, 2020
JE · Effective May 17, 2020
JF · Effective May 17, 2020
JJ · Effective Feb 10, 2020
JM · Effective Feb 10, 2020
J5 · Effective Feb 9, 2020
J8 · Effective Feb 9, 2020
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
J6 · Effective Aug 1, 2022
JK · Effective Aug 1, 2022
JL · Effective Apr 24, 2025
National · Effective Mar 5, 2026
J6 · Effective Apr 1, 2026
National · Effective Oct 1, 2026
National · Effective Oct 1, 2026
National · Effective Apr 24, 2025
National · Effective Feb 5, 2026
National · Effective Apr 24, 2025
J5 · Effective Apr 24, 2025
National · Effective Aug 6, 2026
National · Effective Aug 6, 2026
National · Effective May 14, 2026
J5 · Effective Aug 6, 2026
National · Effective Oct 1, 2026
National · Effective Sep 24, 2026
J5 · Effective Oct 1, 2026
National · Effective Oct 1, 2026
National · Effective Oct 12, 2026
National · Effective Oct 12, 2026
National · Effective Oct 12, 2026
National · Effective Oct 12, 2026
J6 · Effective Jul 15, 2026
J6 · Effective Apr 1, 2026
| Policy | Effective | Status of D61.9 |
|---|---|---|
| Chelation Therapy | Jul 1, 2026 | Covered |
| Hematopoietic Stem Cell Transplantation for Genetic Diseases and Aplastic Anemias | May 28, 2026 | Covered |
| Policy | Effective | Status of D61.9 |
|---|---|---|
| Serum Folate and Red Blood Cell Folate Testing | Dec 15, 2025 | Covered |