Medical Director Articles

The term "article" is used to describe any bulletin article, web site article, educational handout or any other non-LCD document intended for public release that contains coverage/coding statements or medical review related billing or claims considerations.

Articles address local coverage, coding or medical review related billing and claims considerations, and may include any newly developed educational materials, coding instructions or clarification of existing medical review related billing or claims policy.

The article listing will continue to expand as additions are made.

Last Updated Jan 30 , 2024
Articles Source Posted
Billing and Coding: MolDX: Fragile X (A55241) Retirement - Effective May 23, 2024 May 30, 2024
Billing and Coding: MolDX: FANCC Genetic Testing (A55183) Retirement - Effective May 21, 2024 May 30, 2024
Billing and Coding: MolDX: FDA-Approved EGFR Tests (A54422) - R6 - Effective May 30, 2024 May 30, 2024
Billing and Coding: MolDX: 9p21 Genotype Test (A55092) Retirement - Effective May 24, 2024 May 30, 2024
Local Coverage Determinations (LCDs) Finalized - Effective July 7, 2024 May 23, 2024
MolDX: Clarification of Order Requirements for Laboratory and Molecular Diagnostic Services (A59743) - R1 - Effective May 23, 2024 May 23, 2024
Billing and Coding: MolDX: HAX1 Gene Sequencing (A55249) Retirement - Effective May 14, 2024 May 23, 2024
MolDX: Blood Product Molecular Antigen Typing (L38331) - R4 - Effective May 23, 2024 May 23, 2024
Billing and Coding: MolDX: Aspartoacyclase 2 Deficiency (ASPA) Testing (A55088) Retirement - Effective May 14, 2024 May 23, 2024
Billing and Coding: MolDX: HEXA Gene Analysis (A55255) Retirement - Effective May 8, 2024 May 16, 2024
Billing and Coding: MolDX: BCKDHB Gene Test (A55099) Retirement - Effective May 8, 2024 May 16, 2024
Billing and Coding: MolDX: IKBKAP Genetic Testing (A55612) Retirement - Effective May 7, 2024 May 16, 2024
Self-Administered Drug Exclusion List (A53032) - R35 - Effective June 23, 2024 May 09, 2024
Billing and Coding: MolDX: TP53 Gene Tests (A55484) Retirement - Effective May 1, 2024 May 09, 2024
Billing and Coding: MolDX: TERC Gene Tests (A55611) Retirement - Effective May 1, 2024 May 09, 2024
Billing and Coding: MolDX: RPS19 Gene Tests (A55610) Retirement - Effective April 30, 2024 May 09, 2024
Billing and Coding: MolDX: NSD1 Gene Tests (A55609) Retirement - Effective April 30, 2024 May 09, 2024
Skin Substitutes Grafts/Cellular Tissue-Based Products for the Treatment of Diabetic Foot Ulcers and Venous Leg Ulcers - Published for Review and Comments May 02, 2024
MolDX: Clarification of Order Requirements for Laboratory and Molecular Diagnostic services (A59743) - Effective May 2, 2024 May 02, 2024
Billing and Coding: MolDX: Prometheus® IBD sgi Diagnostic® Policy (A57516) - R3 - Effective October 20, 2022 May 02, 2024
Billing and Coding: MolDX: KIF6 Genotype (A55272) Retirement - Effective April 26, 2024 May 02, 2024
Billing and Coding: MolDX: MECP2 Genetic Testing (A55285) Retirement - Effective April 26, 2024 May 02, 2024
Billing and Coding: MolDX: CHD7 Gene Analysis (A55085) Retirement - Effective April 25, 2024 May 02, 2024
Billing and Coding: MolDX: STAT3 Gene Testing (A55480) Retirement - Effective April 24, 2024 May 02, 2024
Billing and Coding: MolDX: Know Error® (A55274) Retirement - Effective April 24, 2024 May 02, 2024
Billing and Coding: MolDX: PTCH1 Gene Testing (A55608) Retirement - Effective April 25, 2024 May 02, 2024
Multi-Jurisdictional CAC Meeting Announcement - MolDX: Biomarker Risk Stratification Testing in DCIS - July 15, 2024, 2 p.m. to 4 p.m. ET Apr 30, 2024
Open Meeting Announcement Skin Substitutes Grafts/Cellular Tissue-Based Products for the Treatment of Diabetic Foot Ulcers and Venous Leg Ulcers - May 16, 2024 Apr 25, 2024
Billing and Coding: MolDX: ATP7B Gene Tests (A55097) Retirement - Effective April 23, 2024 Apr 25, 2024
Billing and Coding: MolDX: VEGFR2 Tests (A55468) Retirement - Effective April 23, 2024 Apr 25, 2024
Billing and Coding: MolDX: myPap™ (A55292) Retirement - Effective April 19, 2024 Apr 25, 2024
Billing and Coding: MolDX: GBA Genetic Testing (A55243) Retirement - Effective April 19, 2024 Apr 25, 2024
Billing and Coding: MolDX: BLM Gene Analysis (A55113) Retirement - Effective April 18, 2024 Apr 25, 2024
Billing and Coding: MolDX: ENG and ACVRL1 Gene Tests (A55181) Retirement - Effective April 18, 2024 Apr 25, 2024
Billing and Coding: MolDX: 4q25-AF Risk Genotype (A55090) Retirement - Effective April 16, 2024 Apr 25, 2024
Billing and Coding: MolDX: LPA-Aspirin Genotype (A55279) Retirement - Effective April 16, 2024 Apr 25, 2024
Billing and Coding: MolDX: HBB Gene Tests (A55253) Retirement - Effective April 17, 2024 Apr 25, 2024
Billing and Coding: MolDX: LPA-Intron 25 Genotype (A55281) Retirement - Effective April 17, 2024 Apr 25, 2024
Billing and Coding: Cryoneurolysis Instructions (A59752) - Effective January 1, 2024 Apr 25, 2024
Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs) (A57161) - R3 - Effective October 1, 2019 Apr 25, 2024
Billing and Coding: Peripheral Nerve Stimulation (A55530) - R7 - Effective March 1, 2024 Apr 25, 2024
Billing and Coding: Trigger Point Injections (A57701) - R5 - Effective April 1, 2024 Apr 25, 2024
Billing and Coding: Wound and Ulcer Care (A58565) - R6 - Effective April 1, 2024 Apr 25, 2024
MolDX: Repeat Germline Testing (L38351) - R2 - Effective April 25, 2024 Apr 25, 2024
MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer (L38972) - R1 - Effective April 18, 2024 Apr 18, 2024
Polysomnography and Other Sleep Studies (L36861) - R4 - Effective December 01, 2019 Apr 18, 2024
Billing and Coding: MolDX: ApoE Genotype (A55094 ) - R4 - Effective April 3, 2024 Apr 11, 2024
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720) - R17 - Effective February 29, 2024 Apr 11, 2024
Trigger Point Injections (TPI) (L34211) - R9 and Billing and Coding: Trigger Point Injections (TPI) (A57701) - R4 - Effective April 1, 2024 Apr 11, 2024
Billing and Coding: MolDX: Proteomics Testing (A59641) - R3 - Effective April 1, 2024 Apr 11, 2024
Billing and Coding: MolDX: Repeat Germline Testing (A57331) - R11 - Effective April 1, 2024 Apr 11, 2024
Additional 2024 CPT/HCPCS Local Coverage Article (LCA) Update Apr 04, 2024
Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55239) - R17 - Effective April 1, 2024 Apr 04, 2024
Self-Administered Drug Exclusion List (A53032) - R34 - Effective April 1, 2024 Apr 04, 2024
Billing and Coding: MolDX: Short Tandem Repeat (STR) Markers and Chimerism (CPT® codes 81265-81268) (A57842) - R3 - Effective April 4, 2024 Apr 04, 2024
Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT) (A57526) - R18 - Effective April 01, 2024 Apr 04, 2024
Micro-Invasive Glaucoma Surgery (MIGS) Final LCD - Effective March 23, 2020 Apr 01, 2024
MolDX: Biomarkers in Cardiovascular Risk Assessment (L36358) - R10 - Effective March 21, 2024 Mar 28, 2024
MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies (L38123) - R2 - Effective March 28, 2024 Mar 28, 2024
Minimally Invasive Arthrodesis of the Sacroiliac Joint (SIJ) - Published for Review and Comments Mar 28, 2024
Open Meeting Announcement Minimally Invasive Arthrodesis of the Sacroiliac Joint (SIJ) - April 18, 2024 Mar 28, 2024
2024 CPT/HCPCS Local Coverage Article (LCA) Updates Mar 28, 2024
Billing and Coding: MolDX: Molecular Biomarkers to Risk-Stratify Patients at Increased Risk for Prostate Cancer (A58718 ) - R3 - Effective March 12, 2024 Mar 21, 2024
Billing and Coding: MolDX: Targeted and Comprehensive Genomic Profile Next-Generation Sequencing Testing in Cancer (A55624) - R10 - Effective March 21, 2024 Mar 21, 2024
Billing and Coding: MolDX: Proteomics Testing (A59641) - R2 - Effective January 31, 2024 Mar 14, 2024
MolDX: NRAS Genetic Testing (L36335) - R7 - Effective July 27, 2023 Mar 14, 2024
Multi-Jurisdictional CAC Meeting Announcement - MolDX: Biomarker Risk Stratification Testing in DCIS - April 22, 2024, 2 p.m. to 4 p.m. ET Mar 11, 2024
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720) - R16 - Effective April 17, 2022 Mar 07, 2024
MolDX: Defining panel services in MolDX (A59685) - Effective February 29, 2024 Feb 29, 2024
Billing and Coding: MolDX: Molecular Testing for Solid Organ Allograft Rejection (A58168) - R6 - Effective February 29, 2024 Feb 29, 2024
MolDX: Prometheus® IBD sgi Diagnostic® Policy (L37299) - R7 - Effective February 29, 2024 Feb 29, 2024
Billing and Coding: MolDX: Proteomics Testing (A59641) - R1 - Effective January 31, 2024 Feb 22, 2024
Local Coverage Determination (LCD) Finalized - Effective April 1, 2024 Feb 15, 2024
Billing and Coding: FDA Approved CLL Companion Diagnostic Test (A56009) Retirement - Effective March 30, 2023 Feb 08, 2024
Billing and Coding: MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease (A57421) - R10 - Effective January 1, 2024 Feb 01, 2024