2 commercial payer policies list R87.613. 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.
2 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 R87.613 |
|---|---|---|
| Polymerase Chain Reaction Testing: Selected Indications | Feb 9, 2024 | Covered |
| Policy | Effective | Status of R87.613 |
|---|---|---|
| Hysterectomy | Jul 1, 2026 | Covered |