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 $dateUtil.getDate( $modifieddate , "MMM dd , yyyy" , $locale , $tzone )
Articles Source Posted
Billing and Coding: MolDX: HEXA Gene Analysis (A55255) Retirement - Effective May 8, 2024 may 16, 2024
Billing and Billing and Coding: MolDX: BCKDHB Gene Test (A55099) Retirement - Effective May 8, 2024 may 16, 2024
Billing and Coding: MolDX: IKBKAP Genetic Testing (A55612) Retirement - Effective May 7, 2024 may 16, 2024
Self-Administered Drug Exclusion List (A53032) - R35 - Effective June 23, 2024 may 09, 2024
Billing and Coding: MolDX: TP53 Gene Tests (A55484) Retirement - Effective May 1, 2024 may 09, 2024
Billing and Coding: MolDX: TERC Gene Tests (A55611) Retirement - Effective May 1, 2024 may 09, 2024
Billing and Coding: MolDX: RPS19 Gene Tests (A55610) Retirement - Effective April 30, 2024 may 09, 2024
Billing and Coding: MolDX: NSD1 Gene Tests (A55609) Retirement - Effective April 30, 2024 may 09, 2024
Skin Substitutes Grafts/Cellular Tissue-Based Products for the Treatment of Diabetic Foot Ulcers and Venous Leg Ulcers - Published for Review and Comments may 02, 2024
MolDX: Clarification of Order Requirements for Laboratory and Molecular Diagnostic services (A59743) - Effective May 2, 2024 may 02, 2024
Billing and Coding: MolDX: Prometheus® IBD sgi Diagnostic® Policy (A57516) - R3 - Effective October 20, 2022 may 02, 2024
Billing and Coding: MolDX: KIF6 Genotype (A55272) Retirement - Effective April 26, 2024 may 02, 2024
Billing and Coding: MolDX: MECP2 Genetic Testing (A55285) Retirement - Effective April 26, 2024 may 02, 2024
Billing and Coding: MolDX: CHD7 Gene Analysis (A55085) Retirement - Effective April 25, 2024 may 02, 2024
Billing and Coding: MolDX: STAT3 Gene Testing (A55480) Retirement - Effective April 24, 2024 may 02, 2024
Billing and Coding: MolDX: Know Error® (A55274) Retirement - Effective April 24, 2024 may 02, 2024
Billing and Coding: MolDX: PTCH1 Gene Testing (A55608) Retirement - Effective April 25, 2024 may 02, 2024
Multi-Jurisdictional CAC Meeting Announcement - MolDX: Biomarker Risk Stratification Testing in DCIS - July 15, 2024, 2 p.m. to 4 p.m. ET abr 30, 2024
Open Meeting Announcement Skin Substitutes Grafts/Cellular Tissue-Based Products for the Treatment of Diabetic Foot Ulcers and Venous Leg Ulcers - May 16, 2024 abr 25, 2024
Billing and Coding: MolDX: ATP7B Gene Tests (A55097) Retirement - Effective April 23, 2024 abr 25, 2024
Billing and Coding: MolDX: VEGFR2 Tests (A55468) Retirement - Effective April 23, 2024 abr 25, 2024
Billing and Coding: MolDX: myPap™ (A55292) Retirement - Effective April 19, 2024 abr 25, 2024
Billing and Coding: MolDX: GBA Genetic Testing (A55243) Retirement - Effective April 19, 2024 abr 25, 2024
Billing and Coding: MolDX: BLM Gene Analysis (A55113) Retirement - Effective April 18, 2024 abr 25, 2024
Billing and Coding: MolDX: ENG and ACVRL1 Gene Tests (A55181) Retirement - Effective April 18, 2024 abr 25, 2024
Billing and Coding: MolDX: 4q25-AF Risk Genotype (A55090) Retirement - Effective April 16, 2024 abr 25, 2024
Billing and Coding: MolDX: LPA-Aspirin Genotype (A55279) Retirement - Effective April 16, 2024 abr 25, 2024
Billing and Coding: MolDX: HBB Gene Tests (A55253) Retirement - Effective April 17, 2024 abr 25, 2024
Billing and Coding: MolDX: LPA-Intron 25 Genotype (A55281) Retirement - Effective April 17, 2024 abr 25, 2024
Billing and Coding: Allergy Testing (A57181) - R8 - Effective April 25, 2024 abr 25, 2024
Billing and Coding: Cryoneurolysis Instructions (A59752) - Effective January 1, 2024 abr 25, 2024
Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs) (A57161) - R3 - Effective October 1, 2019 abr 25, 2024
Billing and Coding: Peripheral Nerve Stimulation (A55530) - R7 - Effective March 1, 2024 abr 25, 2024
Billing and Coding: Trigger Point Injections (A57701) - R5 - Effective April 1, 2024 abr 25, 2024
Billing and Coding: Wound and Ulcer Care (A58565) - R6 - Effective April 1, 2024 abr 25, 2024
MolDX: Repeat Germline Testing (L38351) - R2 - Effective April 25, 2024 abr 25, 2024
MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer (L38972) - R1 - Effective April 18, 2024 abr 18, 2024
Polysomnography and Other Sleep Studies (L36861) - R4 - Effective December 01, 2019 abr 18, 2024
Billing and Coding: MolDX: ApoE Genotype (A55094 ) - R4 - Effective April 3, 2024 abr 11, 2024
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720) - R17 - Effective February 29, 2024 abr 11, 2024
Trigger Point Injections (TPI) (L34211) - R9 and Billing and Coding: Trigger Point Injections (TPI) (A57701) - R4 - Effective April 1, 2024 abr 11, 2024
Billing and Coding: MolDX: Proteomics Testing (A59641) - R3 - Effective April 1, 2024 abr 11, 2024
Billing and Coding: MolDX: Repeat Germline Testing (A57331) - R11 - Effective April 1, 2024 abr 11, 2024
Additional 2024 CPT/HCPCS Local Coverage Article (LCA) Update abr 04, 2024
Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55239) - R17 - Effective April 1, 2024 abr 04, 2024
Self-Administered Drug Exclusion List (A53032) - R34 - Effective April 1, 2024 abr 04, 2024
Billing and Coding: MolDX: Short Tandem Repeat (STR) Markers and Chimerism (CPT® codes 81265-81268) (A57842) - R3 - Effective April 4, 2024 abr 04, 2024
Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT) (A57526) - R18 - Effective April 01, 2024 abr 04, 2024
Micro-Invasive Glaucoma Surgery (MIGS) Final LCD - Effective March 23, 2020 abr 01, 2024
MolDX: Biomarkers in Cardiovascular Risk Assessment (L36358) - R10 - Effective March 21, 2024 mar 28, 2024