Latest Updates

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Articles Source Posted
MolDX: Melanoma Risk Stratification Molecular Testing (L37750) - R8 - Effective June 26, 2025 Oct 16, 2025
Policy Revision(s) for Local Coverage Determinations and Associated Billing and Coding Articles - Effective October 16, 2025 Oct 16, 2025
Billing and Coding: Routine Foot Care (A57954) - R17 - Effective October 1, 2025 Oct 16, 2025
MLN Connects Special Edition: Claims Hold Update - October 15, 2025 Oct 15, 2025
Drugs and Biologicals Outpatient Overview and Billing Webinar - 11/18/2025 Oct 15, 2025
Drugs and Biologicals Outpatient Documentation and Post-Pay Review Webinar - 11/25/2025 Oct 15, 2025
Ambulatory Surgical Center Prior Authorization Webinar - 11/18/2025 Oct 15, 2025
PECOS: Application Data Entry Webinar - 11/19/2025 Oct 15, 2025
Prior Authorization of Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT) Webinar - 11/20/2025 Oct 15, 2025
End Stage Renal Disease (ESRD) Webinar - 11/20/2025 Oct 15, 2025
Outpatient Therapy Services: Clarifying Qualifications for Speech-Language Pathologists Oct 09, 2025
Minimally Invasive Arthrodesis of the Sacroiliac Joint (SIJ) (L39810) - R2 - Effective April 17, 2025 Oct 09, 2025
MolDX: Pigmented Lesion Assay (L38151) - R2 - Effective June 20, 2024 Oct 09, 2025
MolDX: Inivata, InVisionFirst, Liquid Biopsy for Patients with Lung Cancer (L37897) - R4 - Effective October 14, 2021 Oct 09, 2025
ProMark Risk Score (L36704) - R6 - Effective December 30, 2021 Oct 09, 2025
MolDX: Non-Next Generation Sequencing Tests for the Diagnosis of BCR-ABL Negative Myeloproliferative Neoplasms (L39923) - R2 - Effective August 17, 2025 Oct 09, 2025
MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (L39001) - R5 - Effective July 3, 2025 Oct 09, 2025
MolDX: Molecular Diagnostic Tests (MDT) (L35160) - R17 - Effective May 4, 2025 Oct 09, 2025
Policy Revision(s) for Local Coverage Determinations and Associated Billing and Coding Articles - Effective Multiple Dates Oct 02, 2025
Billing and Coding: MolDX: Phenotypic Biomarker Detection from Circulating Tumor Cells (A58183) - R5 - Effective June 2, 2022 Oct 02, 2025