Billing and Coding: MolDX: Minimal Residual Disease Testing for Hematologic Cancers (A58997) - R3 - Effective February 18, 2022

This coverage article has been revised and published for notice 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: February 18, 2022

Summary of Article Changes:
Under Article Text added verbiage, "Diffuse Large B-Cell Lymphoma (DLBCL)" to the Indicated Uses and Limitations box.

Under ICD-10 Codes that Support Medical Necessity Group 2: Codes added: C83.30 C83.31 C83.32 C83.33 C83.34 C83.35 C83.36 C83.37 C83.38 C83.39.

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Last Updated Mar 30 , 2023