Article Detail - JE Part B
2024 Q4 MolDX CPT/HCPCS Billing and Coding Article Updates - Effective October 1, 2024
Date Posted: October 10, 2024
The following MolDX Billing and Coding Articles have been revised under contractor numbers: 01112 (NCA), 01182 (SCA), 01212 (AS, GU, HI, and NMI), and 01312 (NV).
Effective Date: October 1, 2024
Summary of Changes: The following MolDX Billing and Coding Articles have been updated to include and/or remove CPT/HCPCS codes as well as update descriptions. For description changes, either the short and/or long code description was changed. Please Note: Depending on which descriptor was used, there may not be any changes to the code display in the article.
| MCD Number | Billing and Coding Article Title | New CPT/HCPCS Codes | Deleted CPT/HCPCS Codes | CPT/HCPCS Codes Descriptors changes |
|---|---|---|---|---|
| A57526 | Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT) | Effective January 1, 2020- 0152U Effective April 1, 2022- 0321U Effective October 1, 2024- 0476U, 0477U, 0478U, 0480U, 0481U, 0485U, 0486U, 0487U, 0488U, 0489U, 0490U, 0491U, 0492U, 0493U, 0494U, 0495U, 0496U, 0497U, 0498U, 0499U, 0500U, 0501U, 0504U, 0505U, 0506U, 0507U, 0508U, 0509U, 0510U, 0511U, 0516U |
0078U, 0396U | 0403U |
| A58973 | Billing and Coding: MolDX: Plasma-Based Genomic Profiling in Solid Tumors | 0485U | ||
| A59641 | Billing and Coding: MolDX: Proteomics Testing | 0503U |
Visit the Active MolDX Billing and Coding Articles webpage or the Active MolDX LCD webpage to view the Billing and Coding Article or access it via the CMS Medicare Coverage Database (MCD).
