MolDX: DecisionDx-UM (Uveal Melanoma) LCD - R1

The following JF Local Coverage Determination (LCD) has been revised under contractor numbers 02102 (AK), 02202 (ID), 02302 (OR), 02402 (WA), 03102 (AZ), 03202 (MT), 03302 (ND), 03402 (SD), 03502 (UT), 03602 (WY).

Medicare Coverage Database (MCD) Number: L37072

LCD Title: MolDX: DecisionDx-UM (Uveal Melanoma)

Effective Date: February 21, 2019

Summary of Change: This LCD has been revised to replace 81599 with CPT 0081U. The "Demirci" reference under "Clinical Performance: Validity" and in the Bibliography section are also deleted.

  • 0081U - Oncology (Uveal Melanoma), mRNA, gene-expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping genes), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, algorithm reported as risk of metastasis.

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Last Updated Mar 15, 2019