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Response to Comments for MolDX: Breast Cancer Assay: Prosigna
A54611
Effective: October 5, 2015
Updated: December 31, 2025
Policy Summary
This response acknowledges support for coverage of Prosigna, an FDA-approved molecular breast cancer assay, and confirms it may be provided in qualified local laboratories. Per CMS Pub 100-08, Chapter 13, bill types and revenue codes have been removed from the LCD and are not included in the policy.
Coverage Criteria Preview
Key requirements from the full policy
"Prosigna, an FDA-approved molecular breast cancer assay, is acknowledged for coverage and may be provided in local qualified laboratories."
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