Billing and Coding: MolDX: Vectra™ DA- R4

This coverage article has been revised and published for notice 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 01, 2020
Summary of Article Changes: Revisions are due to the annual ICD-10 updates and become effective on 10/1/2020

ICD-10 Codes that Support Medical Necessity Group 1: Codes:
M05.8A: Other rheumatoid arthritis with rheumatoid factor of other specified site
M06.0A: Rheumatoid arthritis without rheumatoid factor, other specified site
M06.8A: Other specified rheumatoid arthritis, other specified site
M05.7A: Rheumatoid arthritis with rheumatoid factor of other specified site without organ or systems involvement

Visit the Molecular Diagnostic Services (MolDX) webpage to access the locally hosted MolDX Medicare Coverage Article from the “Covered Tests” or the “Excluded Tests” webpage.

To view the complete listing of locally hosted coverage articles and/or access the Active, Future, or Retired articles available in the CMS MCD, visit the Medicare Coverage Articles webpage.


            Last Updated Thu, 10 Sep 2020 20:50:21 +0000