Article Detail - JF Part A
Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT) (A57527) - R6 - Effective April 17, 2022
This Billing and Coding 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: April 17, 2022
Summary of Article Changes:
Under CPT/HCPCS Codes Group1: Codes deleted 81599.
Under CPT/HCPCS Codes Group 2: Paragraph added the verbiage, “The following CPT codes require a Z-code if the testing is molecular (DNA/RNA) based.”
Under CPT/HCPCS Codes Group 2: added codes 81599 AND 87999.
Visit the Molecular Diagnostic Services (MolDX) webpage to access the locally hosted MolDX Medicare Coverage Article from the “Covered Tests” or the “Excluded Tests” webpage.
To view the complete listing of locally hosted coverage articles and/or access the Active, Future, or Retired articles available in the CMS MCD, visit the Medicare Coverage Articles webpage.
