Ambetter · PayerPolicy · AMBETTER-CONCERT-GENETIC-TESTING-ONCOLOGY-SOLID-TUMOR-MOLECULAR-DIAGNOSTICS
Summary of the payer’s published policy. Not a coverage determination — confirm with Ambetter before submitting.
Free account. Policy pages stay open to everyone.
Each code’s status is what the policy records for it. This page does not show the policy’s criteria. Read them in the payer’s source.
| Code | Code system | Status in this policy |
|---|---|---|
| 0022U | CPT | Referenced |
| 0036U | CPT | Referenced |
| 0037U | CPT | Referenced |
| 0048U | CPT | Referenced |
| 0155U | CPT | Referenced |
| 0177U | CPT | Referenced |
| 0179U | CPT | Referenced |
| 0229U | CPT | Referenced |
| 0239U | CPT | Referenced |
| 0242U | CPT | Referenced |
| 0250U | CPT | Referenced |
| 0297U | CPT | Referenced |
| 0306U | CPT | Referenced |
| 0307U | CPT | Referenced |
| 0326U |
|---|
| CPT |
| Referenced |
| 0329U | CPT | Referenced |
|---|
| 0334U | CPT | Referenced |
|---|
| 0337U | CPT | Referenced |
|---|
| 0338U | CPT | Referenced |
|---|
| 0340U | CPT | Referenced |
|---|
| 0356U | CPT | Referenced |
|---|
| 0379U | CPT | Referenced |
|---|
| 0388U | CPT | Referenced |
|---|
| 0391U | CPT | Referenced |
|---|
| 0409U | CPT | Referenced |
|---|
| 0422U | CPT | Referenced |
|---|
| 0444U | CPT | Referenced |
|---|
| 0473U | CPT | Referenced |
|---|
| 0478U | CPT | Referenced |
|---|
| 0481U | CPT | Referenced |
|---|
| 0485U | CPT | Referenced |
|---|
| 0486U | CPT | Referenced |
|---|
| 0487U | CPT | Referenced |
|---|
| 0490U | CPT | Referenced |
|---|
| 0491U | CPT | Referenced |
|---|
| 0492U | CPT | Referenced |
|---|
| 0498U | CPT | Referenced |
|---|
| 0499U | CPT | Referenced |
|---|
| 0501U | CPT | Referenced |
|---|
| 0523U | CPT | Referenced |
|---|
| 0530U | CPT | Referenced |
|---|
| 81120 | CPT | Referenced |
|---|
| 81121 | CPT | Referenced |
|---|
| 81162 | CPT | Referenced |
|---|
| 81163 | CPT | Referenced |
|---|
| 81164 | CPT | Referenced |
|---|
| 81165 | CPT | Referenced |
|---|
| 81166 | CPT | Referenced |
|---|
| 81167 | CPT | Referenced |
|---|
| 81191 | CPT | Referenced |
|---|
| 81192 | CPT | Referenced |
|---|
| 81193 | CPT | Referenced |
|---|
| 81194 | CPT | Referenced |
|---|
| 81210 | CPT | Referenced |
|---|
| 81216 | CPT | Referenced |
|---|
| 81235 | CPT | Referenced |
|---|
| 81272 | CPT | Referenced |
|---|
| 81273 | CPT | Referenced |
|---|
| 81275 | CPT | Referenced |
|---|
| 81276 | CPT | Referenced |
|---|
| 81287 | CPT | Referenced |
|---|
| 81288 | CPT | Referenced |
|---|
| 81301 | CPT | Referenced |
|---|
| 81309 | CPT | Referenced |
|---|
| 81311 | CPT | Referenced |
|---|
| 81315 | CPT | Referenced |
|---|
| 81316 | CPT | Referenced |
|---|
| 81415 | CPT | Referenced |
|---|
| 81416 | CPT | Referenced |
|---|
| 81425 | CPT | Referenced |
|---|
| 81426 | CPT | Referenced |
|---|
| 81445 | CPT | Referenced |
|---|
| 81449 | CPT | Referenced |
|---|
| 81455 | CPT | Referenced |
|---|
| 81456 | CPT | Referenced |
|---|
| 81457 | CPT | Referenced |
|---|
| 81458 | CPT | Referenced |
|---|
| 81459 | CPT | Referenced |
|---|
| 81462 | CPT | Referenced |
|---|
| 81463 | CPT | Referenced |
|---|
| 81464 | CPT | Referenced |
|---|
| 81479 | CPT | Referenced |
|---|
| 88120 | CPT | Referenced |
|---|
| 88121 | CPT | Referenced |
|---|
| 88271 | CPT | Referenced |
|---|
| 88273 | CPT | Referenced |
|---|
| 88274 | CPT | Referenced |
|---|
| 88275 | CPT | Referenced |
|---|
| 88291 | CPT | Referenced |
|---|
| 88341 | CPT | Referenced |
|---|
| 88342 | CPT | Referenced |
|---|
| 88360 | CPT | Referenced |
|---|
| 88361 | CPT | Referenced |
|---|
| 88366 | CPT | Referenced |
|---|
| 88374 | CPT | Referenced |
|---|
| 88377 | CPT | Referenced |
|---|
| C00.0 | ICD10CM | Referenced |
|---|
| C10.9 | ICD10CM | Referenced |
|---|
| C49.9 | ICD10CM | Referenced |
|---|
| C49.A | ICD10CM | Referenced |
|---|
| C54.1 | ICD10CM | Referenced |
|---|
| C80.1 | ICD10CM | Referenced |
|---|
| C91.4 | ICD10CM | Referenced |
|---|
| C96.9 | ICD10CM | Referenced |
|---|
| D47.02 | ICD10CM | Referenced |
|---|
| D47.1 | ICD10CM | Referenced |
|---|
| D49.6 | ICD10CM | Referenced |
|---|
| R31.9 | ICD10CM | Referenced |
|---|
| Z85.5 | ICD10CM | Referenced |
|---|