Billing and Coding: Molecular Pathology Procedures
J6 · Effective Jul 15, 2026
1 active Medicare policy lists Z31.448, and 2 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.
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J6 · Effective Jul 15, 2026
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 Z31.448 |
|---|---|---|
| Breast and Ovarian Cancer Susceptibility Gene Testing, Prophylactic Mastectomy, and Prophylactic Oophorectomy | Feb 9, 2024 | Covered |
| Policy | Effective | Status of Z31.448 |
|---|---|---|
| Genetic Testing for Reproductive Carrier Screening and Prenatal Diagnosis | Oct 1, 2026 | Covered |