Billing and Coding: Molecular Pathology Procedures
J6 · Effective Jul 15, 2026
1 active Medicare policy lists Z36.0, 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.
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J6 · Effective Jul 15, 2026
6 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 Z36.0 |
|---|---|---|
| Human Chorionic Gonadotropin Testing | Apr 15, 2026 | Covered |
| Maternity Ultrasound in the Outpatient Setting | Jan 6, 2026 | Covered |
| Outpatient Alpha-Fetoprotein Testing | Apr 15, 2026 | Covered |
| Use of 3-D, 4-D or 5-D Ultrasound in Maternity Care | Apr 15, 2026 | Not covered |
| Policy | Effective | Status of Z36.0 |
|---|---|---|
| Noninvasive Down Syndrome Screening | Nov 21, 2023 | Covered |
| Policy | Effective | Status of Z36.0 |
|---|
| Concert Genetic Testing: Prenatal Screening | Not recorded | Referenced |
|---|