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Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID® Update
A54388
Effective: October 1, 2024
Updated: December 31, 2025
Policy Summary
This policy documents billing/coding requirements for the Cancer TYPE ID (RT-PCR 92-gene) test: as of 2012-11-19 the test has a DEX Z-Code and that identifier must be reported adjacent to the CPT code on Part A and Part B claims, with '1' entered in the Days/Unit field and an appropriate ICD-10-CM diagnosis code selected. MolDX requires the test to be ordered only by the treating physician.
Coverage Criteria Preview
Key requirements from the full policy
"MolDX expects Cancer TYPE ID to be ordered only by the treating physician."
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