MolDX: Molecular Diagnostic Tests (MDT) (L35160) - R17 - Effective May 4, 2025

Date Posted: October 9, 2025

This MolDX Local Coverage Determination (LCD) has been revised under contract numbers: 01111 (CA), 01211 (AS, GU, HI, NMI), 01311 (NV), and 01911 (CA, HI & Territories).

Effective Date: May 4, 2025

Summary of Changes:

Coverage Indications, Limitations and/or Medical Necessity: Formatting, punctuation, and typographical errors were corrected.

Visit the Noridian Molecular Diagnostic Services webpage to view the Active MolDX LCD or access it via the CMS Medicare Coverage Database (MCD).

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