Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer (A58679) R1 - Effective August 08, 2022

This coverage article has been revised and published for notice under contract numbers: 01111 (CA), 01211 (AS, GU, HI, NMI), 01311 (NV), and 01911 (CA, HI & Territories).

Effective Date: August 08, 2022

Summary of Article Changes: Under CPT/HCPCS Codes Group 1: Codes deleted 81321. Added 81322, 81403, 81404, 81405, and 81406. Under CPT/HCPCS Codes Group 2: Paragraph added verbiage “These code(s) are non-covered”. Under CPT/HCPCS Codes Group 2: Codes added 81162, 81163, 81164, 81165, 81166, 81167, 81201, 81203, 81212, 81216, 81292, 81294, 81295, 81297, 81298, 81300, 81307, 81317, 81319, 81321, 81323, and 81351.

Visit the Molecular Diagnostic Services (MolDX) webpage to access the  MolDX Medicare Coverage Article from the “Covered Tests” or the “Excluded Tests” webpage.

To view the complete listing of  coverage articles and/or access the Active, Future, or Retired articles available in the CMS MCD, visit the Medicare Coverage Articles webpage.

 

            Last Updated Fri, 29 Jul 2022 14:30:02 +0000