Medical Director Articles

The term "article" is used to describe any bulletin article, web site article, educational handout or any other non-LCD document intended for public release that contains coverage/coding statements or medical review related billing or claims considerations.

Articles address local coverage, coding or medical review related billing and claims considerations, and may include any newly developed educational materials, coding instructions or clarification of existing medical review related billing or claims policy.

The article listing will continue to expand as additions are made.

Last Updated Jan 30 , 2024
Articles Source Posted
Billing and Coding: MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies (A57891) - R14 - Effective October 1, 2026 Sep 24, 2026
Billing and Coding: MolDX: Next-Generation Sequencing for Solid Tumors (A57901) - R10 - Effective May 17, 2020 Sep 24, 2026
Billing and Coding: MolDX: Molecular Testing for Identification and Management of Hereditary Transthyretin Amyloidosis (A59872) - R3 - Effective October 1, 2026 Sep 24, 2026
Billing and Coding: MolDX: Genetic Testing in Heritable Thoracic Aortic Disease (A59868) - R3 - Effective October 1, 2026 Sep 24, 2026
Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment (A57037) - R9 - Effective October 1, 2026 Sep 24, 2026
Billing and Coding: MolDX: Biomarker Testing in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis (A60217) - R1 - Effective October 1, 2026 Sep 24, 2026
Billing and Coding: MolDX: BCR-ABL (A55595) - R3 - Effective September 24, 2026 Sep 24, 2026
Peripheral Nerve Injections and Procedures for Chronic Pain Final LCD - Effective November 1, 2026 Sep 17, 2026
Nerve Blockade for Treatment of Chronic Pain and Neuropathy Retirement - Effective October 31, 2026 Sep 17, 2026
Billing and Coding: Facet Joint Interventions for Pain Management (A58403) - R9 - Effective September 17, 2026 Sep 17, 2026
Billing and Coding MolDX Testing of Multiple Genes (A58120) - R5 - Effective September 17, 2026 Sep 17, 2026
Billing and Coding: Implantable Continuous Glucose Monitor (I-CGM) (A58133) - R8 - Effective September 10, 2026 Sep 10, 2026
Multi-Jurisdictional CAC Meeting Announcement - MolDX: Biomarker Testing for Risk Stratification in DCIS (L40144): October 13, 2026, 2-4pm ET Sep 03, 2026
Multiple MolDX Proposed LCDs - Published for Review and Comments Aug 31, 2026
MolDX: Biomarker Testing for Risk Stratification in DCIS (L40144): October 13, 2026- 1pm - 3pm CT Aug 28, 2026
Multiple MolDX Local Coverage Determinations (LCDs) Open Public Meeting - October 6, 2026 Aug 27, 2026
MolDX: Genetic Testing for Hypercoagulability/Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR) (L36155) Retirement - Effective October 11, 2026 Aug 27, 2026
MolDX Local Coverage Determination (LCD) Finalized - Effective October 12, 2026 Aug 27, 2026
Allergy Diagnostic Testing Final LCD - Effective September 27, 2026 Aug 13, 2026
Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices (L40255) - R1 - Effective August 13, 2026 Aug 13, 2026
Billing and Coding: Wound and Ulcer Care (A58565) - R14 - Effective August 13, 2026 Aug 13, 2026
Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer (A58679) - R13 - Effective August 13, 2026 Aug 13, 2026
Billing and Coding: MolDX: Molecular Testing for Solid Organ Allograft Rejection (A60152) - R1 - Effective August 30, 2026 Aug 06, 2026
Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer (A58679) - R12 - Effective August 6, 2026 Aug 06, 2026
Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumor Cancers (A58454) - R19 - Effective April 6, 2026 Aug 06, 2026
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720) - R36 - Effective August 6, 2026 Aug 06, 2026
Provider Alert: PET Scan Claims Processing Updates Aug 06, 2026
Billing and Coding: Electrocardiograms (A57326) - R12 - Effective October 1, 2023 Aug 06, 2026
ICD-10 Diagnosis Coding Specificity Requirements Aug 04, 2026
Billing and Coding: Platelet Rich Plasma Injections for Non-Wound Injections (A58788) - R4 - Effective September 11, 2025 Jul 30, 2026
2026 Quarter 3: MolDX CPT/HCPCS Billing and Coding Article Updates - Effective July 1, 2026 Jul 30, 2026
Billing and Coding: MolDX: Pharmacogenomics Testing (A57384) - R21 - Effective July 1, 2026 Jul 30, 2026
Local Coverage Determination and Associated Billing and Coding Article Retirement - Effective August 29, 2026 Jul 16, 2026
MolDX: Molecular Testing for Solid Organ Allograft Rejection (L40060) - Effective August 30, 2026 Jul 16, 2026
Self-Administered Drug Exclusion List (A53032) - R47 - Effective August 29, 2026 Jul 16, 2026
Notice Regarding MolDX: Biomarker Testing for Risk Stratification in DCIS, DL40144 Jul 10, 2026
Multi-Jurisdictional CAC Meeting Announcement - Biomarkers Utilized in the Diagnosis of Synucleinopathies - August 20, 2026, 2-4pm CT Jul 09, 2026
Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55239) - R26 - Effective July 1, 2026 Jul 02, 2026
July 2026 CPT/HCPCS Billing and Coding Article Update - Effective July 1, 2026 Jul 02, 2026
Date of Service (DOS) Policy Jun 30, 2026
Billing and Coding: MolDX: Molecular Biomarkers to Risk-Stratify Patients at Increased Risk for Prostate Cancer (A58718) - R7 - Effective June 25, 2026 Jun 25, 2026
MolDX Local Coverage Determinations (LCDs) Finalized - Effective August 10, 2026 Jun 25, 2026
Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumor Cancers (A58454) - R18 - Effective June 25, 2026 Jun 25, 2026
Billing and Coding: IUD (Hormone-Eluting) for Endometrial Hyperplasia - CPT 58999 (A55061) - R6 - Effective July 1, 2026 Jun 25, 2026
Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence (A53359) - R14 - Effective April 6, 2026 Jun 25, 2026
Billing and Coding: Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea (A57948) - R12 - Effective January 1, 2026 Jun 18, 2026
Request for Volunteers for a Contractor Advisory Committee (CAC) Jun 11, 2026
Billing and Coding: Micro-Invasive Glaucoma Surgery (MIGS) (A57863) - R10 - Effective June 1, 2026 Jun 11, 2026
Billing and Coding: Respiratory Care (A57224) - R22 - Effective January 1, 2026 Jun 11, 2026
Billing and Coding: MolDX: Next-Generation Sequencing for Solid Tumors (A57901) - R9 - Effective June 4, 2026 Jun 04, 2026