Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720) - R8 - Effective April 20, 2023

This coverage article has been revised and published for notice under contract numbers: 01112 (NCA), 01182 (SCA), 01212 (HI and Territories), and 01312 (NV).

Effective Date: April 20, 2023

Summary of Article Changes:
Under CPT/HCPCS Codes Group 6: Paragraph revised 2nd sentence to add "Per policy, these". Added last sentence. Under CPT/HCPCS Codes Group 7: Paragraph revised 2nd sentence to add "Per policy, these". Added last sentence. Under ICD-10 Codes that Support Medical Necessity

Group 5: Codes added B37.89 and R30.0. Deleted N93.9 and N95.0. This revision is retroactive effective for dates of service on or after 06/02/22.

Under CPT/HCPCS Codes Group 8: Codes added 87149, 87150, and 87513. This revision is effective on 04/20/23.

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Last Updated Apr 27 , 2023