Billing and Coding: MolDX: Minimal Residual Disease Testing for Hematologic Cancers (A58996) - R3 - Effective February 18, 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: February 18, 2022

Summary of Article Changes:
Under Article Text added verbiage, "Diffuse Large B-Cell Lymphoma (DLBCL)" to the Indicated Uses and Limitations box.

Under ICD-10 Codes that Support Medical Necessity Group 2: Codes added: C83.30 C83.31 C83.32 C83.33 C83.34 C83.35 C83.36 C83.37 C83.38 C83.39.

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Last Updated Mar 30 , 2023