Policy Revision(s) for Multiple MolDX Billing and Coding Articles - Effective February 19, 2026

Date Posted: February 19, 2026

The following Billing and Coding Articles have been revised under contract numbers: 01111 (CA), 01211 (AS, GU, HI, NMI), 01311 (NV), and 01911 (CA, HI & Territories).

Medicare Coverage Database Number Billing and Coding Article Title and Revision Number
A55711 Billing and Coding: MolDX: Abbott RealTime IDH1 and IDH2 testing for Acute Myeloid Leukemia (AML) - R8
A54975 Billing and Coding: MolDX: Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy (ARVD/C) Testing - R6
A55595 Billing and Coding: MolDX: BCR-ABL - R6
A54386 Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID® Update - R12
A55115 Billing and Coding: MolDX: BluePrint® Test - R5
A54418 Billing and Coding: MolDX: FDA-Approved BRAF Tests - R9
A54422 Billing and Coding: MolDX: FDA-Approved EGFR Tests - R7
A59641 Billing and Coding: MolDX: Proteomics Testing - R13
A54498 Billing and Coding: MolDX: FDA-Approved KRAS Tests - R9
A54422 Billing and Coding: MolDX: Germline testing for use of PARP inhibitors - R7
A57970 Billing and Coding: MolDX: HLA Testing for Transplant Histocompatibility - R4
A55264 Billing and Coding: MolDX: HTTLPR Gene Testing - R4
A54445 Billing and Coding: MolDX: MammaPrint - R9
A56103 Billing and Coding: MolDX: Microsatellite Instability-High (MSI-H) and Mismatch Repair Deficient (dMMR) Biomarker for Patients with Unresectable or Metastatic Solid Tumors - R5
A54480 Billing and Coding: MolDX: Oncotype DX® Breast Cancer Assay - R6
A54484 Billing and Coding: MolDX: Oncotype DX® Colon Cancer - R5
A55597 Billing and Coding: MolDX: PIK3CA Gene Tests - R8
A55623 Billing and Coding: MolDX: SEPT9 Gene Test - R4
A57842 Billing and Coding: MolDX: Short Tandem Repeat (STR) Markers and Chimerism (CPT® codes 81265-81268) - R4
A55596 Billing and Coding: MolDX: SULT4A1 Genetic Testing - R4
A55624 Billing and Coding: MolDX: Targeted and Comprehensive Genomic Profile Testing in Cancer - R11
A58120 Billing and Coding: MolDX: Testing of Multiple Genes - R4
A58673 MolDX: Algorithm definition as a component of a laboratory test - R3
A59743 MolDX: Clarification of Order Requirements for Laboratory and Molecular Diagnostic services - R2
A59685 MolDX: Defining panel services in MolDX - R1

Effective Date: February 19, 2026

Summary of Changes:

CONTRACTOR INFORMATION:

Added: JF contractor information

This update is to consolidate JE and JF to have one unified document and policy number.

Visit the Noridian Active MolDX Billing and Coding Articles and Educational Articles or the Active MolDX LCDs webpage to view the Billing and Coding article or access it via the CMS MCD.

Last Updated Feb 19 , 2026