MolDX: Molecular Diagnostic Tests (MDT) (L35160) - R17 - Effective May 4, 2025

Date Posted: October 9, 2025

This MolDX Local Coverage Determination (LCD) has been revised under contract numbers: 01111 (CA), 01211 (AS, GU, HI, NMI), 01311 (NV), and 01911 (CA, HI & Territories).

Effective Date: May 4, 2025

Summary of Changes:

Coverage Indications, Limitations and/or Medical Necessity: Formatting, punctuation, and typographical errors were corrected.

Visit the Noridian Molecular Diagnostic Services webpage to view the Active MolDX LCD or access it via the CMS Medicare Coverage Database (MCD).

Last Updated Oct 09 , 2025