Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58726) - R27 - Effective October 1, 2025

Date Posted: August 28, 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 1, 2025

Summary of Changes:

Under ICD-10 Codes that Support Medical Necessity Group 2: Codes added B88.09 and R10.85. Under ICD-10 Codes that Support Medical Necessity Group 5: Codes deleted R10.2. Added R10.20, R10.21, R10.22, R10.23, R10.24, and R10.8A3. Under ICD-10 Codes that Support Medical Necessity Group 6: Codes added D71.1, D71.8 and D71.9. Under ICD-10 Codes that Support Medical Necessity Group 7: Codes added D71.1, D71.8 and D71.9. This revision is due to the Annual ICD-10-CM Update and will become effective on 10/1/2025.

Under ICD-10 Codes that Support Medical Necessity Group 5: Codes added O09.90, O09.91, O09.92, O09.93, Z34.00, Z34.01, Z34.02, Z34.03, Z34.80, Z34.81, Z34.82, Z34.83, Z34.90, Z34.91, Z34.92, and Z34.93. This revision is effective 9/2/2025.

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

Last Updated Aug 28 , 2025