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
Policy Revision(s) for Local Coverage Determinations and Associated Billing and Coding Articles - Effective Multiple Dates Oct 02, 2025
BDX-XL2 (L37062) - R4 - Effective April 28, 2022 Oct 02, 2025
MolDX: Pharmacogenomics Testing (L38337) - R3 - Effective October 2, 2025 Oct 02, 2025
Billing and Coding: MolDX: Pharmacogenomics Testing (A57385) - R17 - Effective July 3, 2025 Oct 02, 2025
Billing and Coding: MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR) (A57424) - R5 - Effective November 7, 2024 Oct 02, 2025
Billing and Coding: MolDX: MGMT Promoter Methylation Analysis (A57433) - R3 - Effective October 14, 2021 Oct 02, 2025
Billing and Coding: MolDX: Oncotype DX Breast Cancer Assay (A54482) - R5 - Effective November 1, 2019 Oct 02, 2025
Multiple Billing and Coding Articles Retirement - Effective October 2, 2025 Oct 02, 2025
Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55323) - R22 - Effective October 1, 2025 Oct 02, 2025
2025 ICD-10 Billing and Coding Article Updates - Effective October 1, 2025 Oct 02, 2025
Self-Administered Drug Exclusion List (A53033) - R44 - Effective November 15, 2025 Oct 02, 2025
CORRECTED Billing and Coding: MolDX: Prometheus IBD sgi Diagnostic Policy (A57517) - R4 - Effective October 20, 2022 Sep 29, 2025
Multi-Jurisdictional Contractor Advisory Committee (CAC) Meeting Announcement - Implantation of Anterior Segment Intraocular Nonbiodegradable Drug-eluting System - November 12, 2025, 2 - 4 pm CT Sep 26, 2025
Billing and Coding: MolDX: MammaPrint (A54447) - R9 - Effective January 1, 2022 Sep 25, 2025
Billing and Coding: MolDX: Breast Cancer Index (BCI) Gene Expression Test (A57774) - R4 - Effective October 9, 2021 Sep 25, 2025
Billing and Coding: MolDX: FDA-Approved KRAS Tests (A54500) - R9 - Effective July 14, 2022 Sep 25, 2025
Billing and Coding: MolDX: Prostate Cancer Genomic Classifier Assay for Men with Localized Disease (A57236) - R5 - Effective January 1, 2021 Sep 25, 2025
Billing and Coding: BDX-XL2 (A57357) - R5 - Effective April 28, 2022 Sep 25, 2025
Billing and Coding: MolDX: Plasma-Based Genomic Profiling in Solid Tumors (A58975) - R10 - Effective July 1, 2025 Sep 25, 2025
Billing and Coding: MolDX: Prometheus IBD sgi Diagnostic Policy (A57517) - R4 - Effective October 20, 2022 Sep 25, 2025
Peripheral Nerve Stimulation (L37360) - R5 - Effective December 1, 2019 Sep 25, 2025
Billing and Coding: MolDX: Abbott RealTime IDH1 and IDH2 testing for Acute Myeloid Leukemia (AML) (A55712) - R7 - Effective June 1, 2023 Sep 25, 2025
Billing and Coding: MolDX: Oncotype DX Colon Cancer (A54486) - R4 - Effective November 1, 2019 Sep 25, 2025
Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers - Coding and Billing (A54931) - R11 - Effective October 1, 2023 Sep 25, 2025
Proposed LCDs - Published for Review and Comments Sep 25, 2025
Open Public Meeting Announcement Multiple LCDs - October 30, 2025 Sep 25, 2025
Multiple Billing and Coding Articles Retirement - Effective September 25, 2025 Sep 25, 2025
MolDX: Non-Next Generation Sequencing Tests for the Diagnosis of BCR-ABL Negative Myeloproliferative Neoplasms (L39927) - R1 - Effective July 3, 2025 Sep 25, 2025
Billing and Coding: MolDX: Genetic Testing in Heritable Thoracic Aortic Disease (A59870) - R1 - Effective August 17, 2025 Sep 25, 2025
Billing and Coding: MolDX: Molecular Testing for Identification and Management of Hereditary Transthyretin Amyloidosis (A59874) - R1 - Effective August 17, 2025 Sep 25, 2025
Local Coverage Determination (LCD) Finalized - Effective November 2, 2025 Sep 18, 2025
Micro Invasive Glaucoma Surgery L38301 - R6 - Effective November 17, 2024 Sep 18, 2025
Billing and Coding: Billing Limitations for Pharmacies (A56124) Retirement - Effective September 18, 2025 Sep 18, 2025
Allergen Immunotherapy (AIT) with Subcutaneous Immunotherapy (SCIT) Final LCD - Effective October 26, 2025 Sep 11, 2025
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58726) - R29 - Effective October 1, 2025 Sep 11, 2025
Multiple LCDs and Billing and Coding Articles Retirement - Effective September 11, 2025 Sep 11, 2025
Billing and Coding: MolDX: Germline testing for use of PARP inhibitors (A55295) - R12 - Effective October 1, 2025 Sep 04, 2025
Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer (A58681) - R9 - Effective October 1, 2025 Sep 04, 2025
Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumor Cancers (A58456) - R13 - Effective October 1, 2025 Sep 04, 2025
Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment (A57055) - R6 - Effective October 1, 2025 Aug 28, 2025
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58726) - R27 - Effective October 1, 2025 Aug 28, 2025
MolDX Open Public Meeting Announcement Multiple LCDs - October 8, 2025 Aug 28, 2025
Proposed LCDs - Published for Review and Comments Aug 28, 2025
MolDX: HLA-DQB1*06:02 Testing for Narcolepsy (L36544) - R5 - August 24, 2023 Aug 21, 2025
MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease (L36186) - Retirement - Effective August 17, 2025 Aug 21, 2025
Multiple LCDs and Billing and Coding Articles Retirement - Effective August 14, 2025 Aug 14, 2025
Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT) (A57527) - R24 - Effective August 14, 2025 Aug 14, 2025
Billing and Coding: MolDX: Proteomics Testing (A59642) - R10 - Effective August 14, 2025 Aug 14, 2025
MolDX: MGMT Promoter Methylation Analysis (L36192) - R6 - Effective August 7, 2025 Aug 07, 2025
MolDX: Molecular Biomarker Testing to Guide Targeted Therapy Selection in Rheumatoid Arthritis (L39469) - R2 - Effective August 7, 2025 Aug 07, 2025