Article Detail - JE Part B
Billing and Coding: BDX-XL2 (A57356) - R2 - Effective April 28, 2022
This Billing and Coding Article has been revised and published for notice under contract numbers: 01112 (NCA), 01182 (SCA), 01212 (AS, GU, HI, NMI), and 01312 (NV).
Effective Date: April 28, 2022
Summary of Article Changes:
Under Article Title revised to BDX-XL2. Under Article Text revised title to BDX-XL2. Formatting, punctuation, and typographical errors were corrected throughout the article.
Noridian has modified certain language in this article to mirror the language used presently by the MolDX team at Palmetto GBA as part of an annual review. Revision history dates and language may not exactly match the MolDX PGBA revision history but is updated with the revisions made in an accurate timeline. However, these revisions do not change coverage or guidance.
10.22.2020: Under CMS National Coverage Policy §60.1.2 and §60.2 were added to CMS Internet-Only Manual, Pub 100-04, Medicare Claims Processing Manual, Chapter 16 and added regulation CMS Internet-Only Manual, Pub 100-02, Medicare Benefit Policy Manual, Chapter 15, §80.0, §80.1.1, and §80.1.2. Formatting, punctuation, and typographical errors were corrected throughout the article.
10.17.2019: This article is being revised in order to adhere to CMS requirements per chapter 13, section 13.5.1 of the Program Integrity Manual, to remove all coding from LCDs and incorporate into related Billing and Coding Articles. Regulations regarding billing and coding were removed from the CMS National Coverage Policy section of the related MolDX: BDX-XL2 L37031 LCD and placed in this article. Under Article Text removed ICD-10 code R91.1 from the last bullet. Under CPT/HCPCS Modifiers added Group 1: Paragraph and KX under Group 2: Codes. Under ICD-10 Codes that Support Medical Necessity added Group 2: Paragraph and ICD-10 code R91.8 under Group 2: Codes
Visit the Molecular Diagnostic Services (MolDX) webpage to access the locally hosted MolDX Medicare Coverage Article from the “Covered Tests” or the “Excluded Tests” webpage.
To view the complete listing of locally hosted coverage articles and/or access the Active, Future, or Retired articles available in the CMS MCD, visit the Medicare Coverage Articles webpage.
