Immunizations
J5 · Effective Oct 1, 2015
10 active Medicare policies list Z20.828, and 6 commercial payer policies list 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.
Free account. Policy pages stay open to everyone.
J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
J9 · Effective Jul 11, 2021
JK · Effective Dec 1, 2021
JH · Effective Jul 11, 2021
JL · Effective Jul 11, 2021
J5 · Effective Oct 1, 2025
National · Effective Jan 1, 2026
National · Effective Jan 1, 2026
National · Effective Jul 31, 2025
6 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 Z20.828 |
|---|---|---|
| HIV Testing | Aug 4, 2023 | Covered |
| Infertility | Feb 15, 2024 | Covered |
| Pharmacogenetic and Pharmacodynamic Testing | Feb 27, 2024 | Covered |
| Polymerase Chain Reaction Testing: Selected Indications | Feb 9, 2024 | Covered |
| Ultrasound for Pregnancy | Jul 11, 2023 | Covered |
| Policy |
|---|
| Effective |
|---|
| Status of Z20.828 |
|---|
| COVID-19: In Vitro Diagnostic Testing | May 15, 2026 | Not covered |
|---|