Active MolDX Billing and Coding Articles and Educational Articles

The term "article" is used to describe any bulletin article, website 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.

Medicare contractors post articles into the Medicare Coverage Database (MCD). 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.

View coverage information on topics found outside NCDs and LCDs. As articles are updated in the MCD, they will be published as webpages here as well. Watch the below list continue to expand as updates are made.

Access MolDX Article: Select the Article number in the table below to view the policy or article on the Medicare Coverage Database (MCD).

Print the MolDX Article: Select the LCD or Article number in the table below to view the policy or article on the Medicare Coverage Database (MCD).

  1. Click on the blue download arrow on the right side of page when Article appears.
  2. Click the print when PDF opens.
 
Topic Article Number CPT/HCPCS Codes Referenced
Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID® A54386 81540
Billing and Coding: MolDX: BluePrint® A55115 81479
Billing and Coding: MolDX: FDA-Approved BRAF Tests A54418 81210
Billing and Coding: MolDX: HLA Testing for Transplant Histocompatibility A57970 81370, 81371, 81372, 81373, 81375, 81376, 81378, 81379, 81380, 81382
Billing and Coding: MolDX: HTTLPR Gene Testing A55264 81479
Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumor Cancers A58454 81445, 81479, 0340U, 0356U, 0422U
Billing and Coding: MolDX: PIK3CA Gene Tests A55597 81309, 0155U
Billing and Coding: MolDX: Prometheus® IBD sgi Diagnostic® Policy A57516 81479
Billing and Coding: MolDX: Proteomics Testing A59641 81490, 81500, 81503, 81517, 81539, 81599, 0002M, 0003M, 0015M, 0019M, 0002U, 0003U, 0021U, 0080U, 0092U, 0095U, 0105U, 0117U, 0174U, 0206U, 0207U, 0228U, 0249U, 0259U, 0263U, 0295U, 0308U, 0309U, 0310U, 0312U, 0322U, 0344U, 0351U, 0360U, 0365U, 0366U, 0367U, 0375U, 0384U, 0385U, 0387U, 0407U, 0412U, 0415U, 0436U, 0446U, 0447U, 0458U, 0468U, 0503U
Billing and Coding: MolDX: SEPT9 Gene Test A55623 81327
Billing and Coding: MolDX: Short Tandem Repeat (STR) Markers and Chimerism (CPT® codes 81265-81268) A57842 81265, 81266, 81267, 81268
Billing and Coding: MolDX: SULT4A1 Genetic Testing A55596 81479
Billing and Coding: MolDX: Targeted and Comprehensive Genomic Profile Testing in Cancer A55624 N/A
Billing and Coding: MolDX: Testing of Multiple Genes A58120 N/A
MolDX: Algorithm definition as a component of a laboratory test A58673 N/A
MolDX: Clarification of Order Requirements for Laboratory and Molecular Diagnostic Services A59743 NA
MolDX: Defining panel services in MolDX A59685 N/A
Last Updated Oct 03 , 2024