E78.5 coverage policies: Medicare and commercial payers

30 active Medicare policies list E78.5, and 1 commercial payer policy lists 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 E78.5

LCD · NOVITAS-JH-L35022

Bariatric Surgical Management of Morbid Obesity

JH · Effective Oct 1, 2015

LCD · NOVITAS-JL-L35022

Bariatric Surgical Management of Morbid Obesity

JL · 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-L40199

MolDX: Biomarker Testing in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis

J15 · Effective Aug 10, 2026

LCD · NORIDIAN-JE-L40197

MolDX: Biomarker Testing in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis

JE · Effective Aug 10, 2026

LCD · NORIDIAN-JF-L40197

MolDX: Biomarker Testing in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis

JF · Effective Aug 10, 2026

LCD · PALMETTO-JJ-L40187

MolDX: Biomarker Testing in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis

JJ · Effective Aug 10, 2026

LCD · PALMETTO-JM-L40187

Commercial payer policies listing E78.5

1 policy from 1 payer

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

Ambetter

Ambetter policies listing E78.5, with the code’s status in each
Policy	Effective	Status of E78.5
Concert Genetic Testing: Nutrition and MetabolismPayerPolicy · AMBETTER-CONCERT-GENETIC-TESTING-NUTRITION-AND-METABOLISM	Not recorded	Referenced