Z85.42 coverage policies: Medicare and commercial payers

38 active Medicare policies list Z85.42, and 1 commercial payer policy lists 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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Medicare policies listing Z85.42

LCD · PALMETTO-JJ-L33457

Cardiac Radionuclide Imaging

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L33457

Cardiac Radionuclide Imaging

JM · Effective Oct 1, 2015

LCD · PALMETTO-JJ-L34415

CT of the Abdomen and Pelvis

JJ · Effective Oct 1, 2015

LCD · PALMETTO-JM-L34415

CT of the Abdomen and Pelvis

JM · Effective Oct 1, 2015

LCD · NGS-J6-L33394

Drugs and Biologicals, Coverage of, for Label and Off-Label Uses

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L33394

Drugs and Biologicals, Coverage of, for Label and Off-Label Uses

JK · Effective Oct 1, 2015

LCD · FIRST_COAST-L34912

Genetic Testing for Lynch Syndrome

J9 · Effective Oct 1, 2015

LCD · CGS-J15-L39017

MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer

J15 · Effective Aug 21, 2022

LCD · NORIDIAN-JE-L38972

MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer

JE · Effective Aug 8, 2022

LCD · NORIDIAN-JF-L38972

Commercial payer policies listing Z85.42

1 policy from 1 payer

Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.

Aetna

Aetna policies listing Z85.42, with the code’s status in each
Policy	Effective	Status of Z85.42
Positron Emission Tomography (PET)PayerPolicy · AETNA-CPB-0071	Sep 21, 2023	Covered