5 commercial payer policies list Z12.5. 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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5 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 Z12.5 |
|---|---|---|
| Prostate Biopsy | Sep 26, 2023 | Covered |
| Prostate Cancer Screening | Jul 14, 2023 | Covered |
| Transrectal Ultrasound | Mar 6, 2023 | Covered |
| Policy | Effective | Status of Z12.5 |
|---|---|---|
| Concert Genetic Testing Oncology: Algorithmic Assays | Not recorded | Referenced |
| Policy | Effective | Status of Z12.5 |
|---|---|---|
| Prostate Specific Antigen Testing | Apr 15, 2026 | Covered |