Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720) - R8 - Effective April 20, 2023

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: April 20, 2023

Summary of Article Changes:
Under CPT/HCPCS Codes Group 6: Paragraph revised 2nd sentence to add "Per policy, these". Added last sentence. Under CPT/HCPCS Codes Group 7: Paragraph revised 2nd sentence to add "Per policy, these". Added last sentence. Under ICD-10 Codes that Support Medical Necessity

Group 5: Codes added B37.89 and R30.0. Deleted N93.9 and N95.0. This revision is retroactive effective for dates of service on or after 06/02/22.

Under CPT/HCPCS Codes Group 8: Codes added 87149, 87150, and 87513. This revision is effective on 04/20/23.

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

 

Last Updated Apr 27 , 2023