Date Posted: September 24, 2026

This Billing and Coding Article has been revised under contract numbers: 01111 (CA), 01211 (AS, GU, HI, NMI), 01311 (NV), and 01911 (CA, HI & Territories).

Effective Date: May 17, 2020

Summary of Changes:

Under CPT/HCPCS Codes Group 1: Paragraph added "Inclusion does not imply coverage. Note: While 81455 and 81456 are genomic sequencing CPT® codes, they do not adequately define any particular service."

Under CPT/HCPCS Codes Group 1: Codes added 81455 and 81456. This revision is effective 05/17/2020.

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