Billing and Coding: MolDX: Molecular Testing for Solid Organ Allograft Rejection (A58170) - R4 - Effective March 31, 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: March 31, 2023

Summary of Article Changes: Under Article Text added four paragraphs and deleted table. Under CPT/HCPCS Codes Group 1: Paragraph deleted sentence.

Under Article Text added additional verbiage after the first paragraph. Deleted subsection "NOTES" and replaced with the heading "Additional billing information". Revised the paragraph following the new subsection heading "Additional billing information". Added the verbiage "This will allow this contractor to better understand the intended use of the test" after the sentence "Different Z-Code identifiers must be used for protocol vs for-cause testing". The 3 paragraphs following this sentence were deleted. Added sentence "Covered services can be identified on the DEX registry (dexzcodes.com)" after sentence "Select the appropriate ICD-10-CM code".

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Last Updated Aug 30 , 2023