MolDX: DecisionDx-UM (Uveal Melanoma) (L37072) - R7 - Effective June 30, 2022

Date Posted: October 16, 2025

This MolDX Local Coverage Determination (LCD) has been revised under contract numbers: 02102 (AK), 02202 (ID), 02302 (OR), 02402 (WA), 03102 (AZ), 03202 (MT), 03302 (ND), 03402 (SD), 03502 (UT), and 03602 (WY).

Effective Date: June 30, 2022

Summary of Changes:

Updated Issue Description with "This LCD outlines limited coverage for this service with specific details under Coverage Indications, Limitations and/or Medical Necessity." Updated Summary of Evidence, Clinical Performance: Validity table with AMA guidelines.

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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