Article Detail - JF Part A
Policy Revision(s) for Multiple MolDX Billing and Coding Articles - Effective February 19, 2026
Date Posted: February 19, 2026
The following Billing and Coding Articles have been retired under contractor numbers: 02101 (AK), 02201 (ID), 02301 (OR), 02401 (WA), 03101 (AZ), 03201 (MT), 03301 (ND), 03401 (SD), 03501 (UT), and 03601 (WY).
| Medicare Coverage Database Number | Billing and Coding Article Title | New Medicare Coverage Database Number |
|---|---|---|
| A55712 | Billing and Coding: MolDX: Abbott RealTime IDH1 and IDH2 testing for Acute Myeloid Leukemia (AML) | A55711 |
| A54976 | Billing and Coding: MolDX: Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy (ARVD/C) Testing | A54975 |
| A55600 | Billing and Coding: MolDX: BCR-ABL | A55595 |
| A54388 | Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID® Update | A54386 |
| A55116 | Billing and Coding: MolDX: BluePrint® Test | A55115 |
| A54420 | Billing and Coding: MolDX: FDA-Approved BRAF Tests | A54418 |
| A54424 | Billing and Coding: MolDX: FDA-Approved EGFR Tests | A54422 |
| A59642 | Billing and Coding: MolDX: Proteomics Testing | A59641 |
| A54500 | Billing and Coding: MolDX: FDA-Approved KRAS Tests | A54498 |
| A55295 | Billing and Coding: MolDX: Germline testing for use of PARP inhibitors | A54422 |
| A57972 | Billing and Coding: MolDX: HLA Testing for Transplant Histocompatibility | A57970 |
| A55265 | Billing and Coding: MolDX: HTTLPR Gene Testing | A55264 |
| A54447 | Billing and Coding: MolDX: MammaPrint | A54445 |
| A56104 | Billing and Coding: MolDX: Microsatellite Instability-High (MSI-H) and Mismatch Repair Deficient (dMMR) Biomarker for Patients with Unresectable or Metastatic Solid Tumors | A56103 |
| A54482 | Billing and Coding: MolDX: Oncotype DX® Breast Cancer Assay | A54480 |
| A54486 | Billing and Coding: MolDX: Oncotype DX® Colon Cancer | A54484 |
| A55602 | Billing and Coding: MolDX: PIK3CA Gene Tests | A55597 |
| A55628 | Billing and Coding: MolDX: SEPT9 Gene Test | A55623 |
| A57843 | Billing and Coding: MolDX: Short Tandem Repeat (STR) Markers and Chimerism (CPT® codes 81265-81268) | A57842 |
| A55601 | Billing and Coding: MolDX: SULT4A1 Genetic Testing | A55596 |
| A56518 | Billing and Coding: MolDX: Targeted and Comprehensive Genomic Profile Testing in Cancer | A55624 |
| A58121 | Billing and Coding: MolDX: Testing of Multiple Genes | A58120 |
| A58674 | MolDX: Algorithm definition as a component of a laboratory test | A58673 |
| A59744 | MolDX: Clarification of Order Requirements for Laboratory and Molecular Diagnostic services | A59743 |
| A59687 | MolDX: Defining panel services in MolDX | A59685 |
Effective Date: February 19, 2026
Rationale: The above-mentioned Billing and Coding Articles were retired to consolidate JF policies with JE policies to have one unified document and policy number. Per the Centers for Medicare & Medicaid Services (CMS), this update is considered non-substantive and does not alter the intent of coverage or non-coverage outlined in any article.
Visit the CMS Medicare Coverage Database (MCD) to access the Retired articles.