Assays for Vitamins and Metabolic Function
JH · Effective Oct 1, 2015
106 active Medicare policies list Z94.0, and 16 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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JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
J9 · Effective Mar 15, 2020
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J9 · Effective Oct 1, 2015
J15 · Effective Oct 1, 2015
16 policies from 4 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of Z94.0 |
|---|---|---|
| ADAMTS13 Assay for Thrombotic Thrombocytopenic Purpura (TTP) | Oct 26, 2023 | Covered |
| Adoptive Immunotherapy and Cellular Therapy | Sep 13, 2023 | Covered |
| Calcitriol, Etelcalcetide, and Paricalcitol Injections | Feb 1, 2024 | Covered |
| Donor Lymphocyte Infusion | Sep 13, 2023 | Covered |
| Electrical Stimulation for Nausea, Vomiting, Motion Sickness and Other Selected Indications | Jan 5, 2024 | Covered |
| Extracorporeal Photochemotherapy (Photopheresis) | Mar 29, 2023 |
J9 · Effective Dec 30, 2019
JH · Effective Dec 30, 2019
JL · Effective Dec 30, 2019
JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
J15 · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
JJ · Effective Jan 22, 2023
JM · Effective Jan 22, 2023
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
J15 · Effective Apr 17, 2022
JE · Effective Apr 17, 2022
JF · Effective Apr 17, 2022
JJ · Effective Apr 17, 2022
JM · Effective Apr 17, 2022
J5 · Effective Apr 17, 2022
J8 · Effective Apr 17, 2022
J5 · Effective Jun 6, 2021
J8 · Effective Jun 6, 2021
J15 · Effective Jun 6, 2021
J15 · Effective Aug 30, 2026
JE · Effective Aug 30, 2026
JF · Effective Aug 30, 2026
JJ · Effective Aug 30, 2026
JM · Effective Aug 30, 2026
J5 · Effective Aug 30, 2026
J8 · Effective Aug 30, 2026
J6 · Effective Aug 1, 2022
JK · Effective Aug 1, 2022
J15 · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
J6 · Effective Nov 1, 2022
JK · Effective Nov 1, 2022
J6 · Effective Nov 1, 2022
JK · Effective Nov 1, 2022
J9 · Effective Oct 1, 2015
J6 · Effective Jul 13, 2025
JK · Effective Jul 13, 2025
J9 · Effective Dec 12, 2021
JH · Effective Dec 12, 2021
JL · Effective Dec 12, 2021
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
JE · Effective Mar 13, 2017
JF · Effective Mar 13, 2017
JL · Effective Oct 1, 2025
JL · Effective Jan 1, 2026
J9 · Effective Jan 1, 2026
National · Effective Oct 1, 2026
J9 · Effective Oct 1, 2025
National · Effective Mar 5, 2026
National · Effective Jul 1, 2025
National · Effective Jul 1, 2025
National · Effective Jul 1, 2026
J5 · Effective Jul 1, 2026
National · Effective Jun 18, 2026
National · Effective Jul 1, 2026
National · Effective Oct 1, 2026
National · Effective Oct 1, 2026
National · Effective Oct 1, 2026
J6 · Effective Apr 1, 2026
JL · Effective Oct 1, 2025
National · Effective Aug 6, 2026
National · Effective Aug 6, 2026
National · Effective May 14, 2026
J5 · Effective Aug 6, 2026
National · Effective Aug 30, 2026
National · Effective Aug 30, 2026
National · Effective Aug 30, 2026
National · Effective Aug 30, 2026
National · Effective Aug 30, 2026
J6 · Effective Apr 1, 2026
National · Effective Nov 6, 2025
J6 · Effective Apr 1, 2026
J6 · Effective Jul 1, 2026
J6 · Effective Apr 1, 2026
J9 · Effective Dec 18, 2025
| Covered |
| Flow Cytometry, Ektacytometry, DNA Ploidy, and S-phase Fraction | Jun 5, 2023 | Covered |
|---|
| Pancreas Kidney Transplantation | Aug 30, 2023 | Covered |
|---|
| Polymerase Chain Reaction Testing: Selected Indications | Feb 9, 2024 | Covered |
|---|
| Proton Beam, Neutron Beam, and Carbon Ion Radiotherapy | Oct 3, 2023 | Covered |
|---|
| Policy | Effective | Status of Z94.0 |
|---|---|---|
| Mohs Micrographic Surgery | Apr 15, 2026 | Covered |
| Respiratory Viral Panel Testing in the Outpatient Setting | Oct 1, 2026 | Covered |
| Therapeutic Apheresis | Apr 15, 2026 | Covered |
| Policy | Effective | Status of Z94.0 |
|---|---|---|
| Concert Genetic Testing: Transplant | Not recorded | Referenced |
| Polymerase Chain Reaction Respiratory Viral Panel Testing | Not recorded | Covered |
| Policy | Effective | Status of Z94.0 |
|---|---|---|
| Flow Cytometry | Sep 15, 2026 | Covered |