Billing and Coding: MolDX: MGMT Promoter Methylation Analysis (A57433) - R3 - Effective October 14, 2021

Date Posted: October 2, 2025

This Billing and Coding Article has been revised under contract numbers: 02102 (AK), 02202 (ID), 02302 (OR), 02402 (WA), 03102 (AZ), 03202 (MT), 03302 (ND), 03402 (SD), 03502 (UT), and 03602 (WY).

Effective Date: October 14, 2021

Summary of Changes:

Under Article Text: Replaced "Box" with "Item."

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

Last Updated Oct 02 , 2025