Billing and Coding: MolDX: MGMT Promoter Methylation Analysis (A57433) - R3 - Effective October 14, 2021

Date Posted: October 2, 2025

This Billing and Coding Article has been revised under contract numbers: 02101 (AK), 02201 (ID), 02301 (OR), 02401 (WA), 03101 (AZ), 03201 (MT), 03301 (ND), 03401 (SD), 03501 (UT), and 03601 (WY).

Effective Date: October 14, 2021

Summary of Changes:

Under Article Text: Replaced "Box" with "Item."

Visit the Noridian Molecular Diagnostic Services webpage to view the Active MolDX LCDs or access it via the CMS MCD.

Last Updated Oct 02 , 2025