Billing and Coding MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58726) - R19 - Effective August 1, 2024

Date Posted: August 1, 2024

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: August 1, 2024

Summary of Article Changes:

Under CPT/HCPCS Codes Group 11: Paragraph added "Non-Urogenital/Anogenital Cutaneous/Mucocutaneous Lesion Panels: This code is reimbursed under limited circumstances". Under CPT/HCPCS Codes Group 11: Codes added 87999. Under CPT/HCPCS Modifiers Group 11: Codes added 59. Under ICD-10 Codes that Support Medical Necessity Group 11: Paragraph added "These are the diagnosis codes corresponding to coverage of CPT/HCPCS Codes Group 11: Codes -Non-Urogenital/ Anogenital Cutaneous/ Mucocutaneous Lesion Panels". Under ICD-10 Codes that Support Medical Necessity Group 11: Codes added B00.0, B00.1, B00.2, and B00.59. This revision is effective 3/28/2024.

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Last Updated Aug 01 , 2024