3 commercial payer policies list R39.84. 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.
Free account. Policy pages stay open to everyone.
3 policies from 2 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of R39.84 |
|---|---|---|
| Human Chorionic Gonadotropin Testing | Apr 15, 2026 | Covered |
| Outpatient Alpha-Fetoprotein Testing | Apr 15, 2026 | Covered |
| Policy | Effective | Status of R39.84 |
|---|---|---|
| Scrotal Ultrasonography | Aug 8, 2023 | Covered |