Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58726)- R20 - Effective October 1, 2024

Date Posted: September 29, 2024

This Local Coverage Article (LCA) has been revised under contractor numbers: 02101 (AK), 02201 (ID), 02301 (OR), 02401 (WA), 03101 (AZ), 03201 (MT), 03301 (ND), 03401 (SD), 03501 (UT), and 03601 (WY).

Effective Date: October 1, 2024

Summary of Changes:

Under ICD-10 Codes that Support Medical Necessity Group 6: Codes added D61.03. Under ICD-10 Codes that Support Medical Necessity Group 7: Codes added D61.03. Under ICD-10 Codes that Support Medical Necessity Group 9: Codes the description was revised for A77.41.

Visit the Noridian Molecular Diagnostic Services webpage to view the Active MolDX LCDs  or access it via the CMS MCD.

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