Article Detail - JF Part A
2025 MolDX CPT/HCPCS Billing and Coding Article Updates - Effective January 1, 2025
Date Posted: January 9, 2025
The following MolDX Billing and Coding Articles have been revised under contractor numbers: 02101 (AK), 02201 (ID), 02301 (OR), 02401 (WA), 03101 (AZ), 03201 (MT), 03301 (ND), 03401 (SD), 03501 (UT), and 03601 (WY).
Effective Date: January 1, 2025
Summary of Changes: The following MolDX Billing and Coding Articles have been updated to include and/or remove CPT/HCPCS codes as well as update descriptions. For description changes, either the short and/or long code description was changed. Please Note: Depending on which descriptor was used, there may not be any changes to the code display in the article.
| MCD Number | Billing and Coding Article Title | New CPT/HCPCS Codes | Deleted CPT/HCPCS Codes | CPT/HCPCS Codes Descriptor changes |
|---|---|---|---|---|
| A59522 | Billing and Coding: MolDX: Molecular Biomarker Testing to Guide Targeted Therapy Selection in Rheumatoid Arthritis | N/A | 0456U | N/A |
| A59642 | Billing and Coding: MolDX: Proteomics Testing | 0247U | N/A | 0095U, 0365U, 0468U |
| A57332 | Billing and Coding: MolDX: Repeat Germline Testing | 0529U | 81433, 81436, 81438, 0380U | 81432, 81434, 81435, 81437 |
| A57385 | Billing and Coding: MolDX: Pharmacogenomics Testing | N/A | 0380U | N/A |
| A58170 | Billing and Coding: MolDX: Molecular Testing for Solid Organ Allograft Rejection | 81558 | N/A | N/A |
| A58681 | Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer | N/A | 81433, 81436, 81438 | 81432, 81435, 81437 |
Visit the Active MolDX Billing and Coding Articles webpage or the Active MolDX LCD webpage to view the Billing and Coding Article or access it via the CMS Medicare Coverage Database (MCD).
