Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58726) - R8 - Effective April 20, 2023

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: April 20, 2023

Summary of Article Changes:
Under CPT/HCPCS Codes Group 6: Paragraph revised 2nd sentence to add "Per policy, these". Added last sentence. Under CPT/HCPCS Codes Group 7: Paragraph revised 2nd sentence to add "Per policy, these". Added last sentence. Under ICD-10 Codes that Support Medical Necessity

Group 5: Codes added B37.89 and R30.0. Deleted N93.9 and N95.0. This revision is retroactive effective for dates of service on or after 06/02/22.

Under CPT/HCPCS Codes Group 8: Codes added 87149, 87150, and 87513. This revision is effective on 04/20/23.

Visit the Noridian Medicare Coverage Articles webpage to view the complete listing of coverage articles and/or access the Active, Future, or Retired articles available in the CMS MCD.

 

Last Updated Apr 27 , 2023