5 commercial payer policies list Z12.81. 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 Z12.81 |
|---|---|---|
| Oral and Esophageal Brush Biopsy | Sep 15, 2023 | Covered |
| Oral Screening and Lesion Identification Systems | Oct 11, 2023 | Covered |
| Upper Gastrointestinal Endoscopy and Gastrointestinal Biopsy | Oct 4, 2023 | Covered |
| Policy | Effective | Status of Z12.81 |
|---|---|---|
| Testing for Oral and Esophageal Cancer | Jul 1, 2026 | Not covered |
| Policy | Effective | Status of Z12.81 |
|---|---|---|
| Transvaginal Ultrasound, Non-Obstetrical | Mar 15, 2026 | Not covered |