Billing and Coding: MolDX: Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy (ARVD/C) Testing

Molecular testing for ARVD/C (commonly reported as CPT 81439) is a statutorily excluded service and is not covered. To obtain a formal denial on claims submit CPT 81439, append modifier GY for statutorily excluded services (use GX for a voluntary ABN), include the appropriate diagnosis and the DEX Z-code identifier in the specified claim fields.

"Genetic testing for Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy (ARVD/C) is a statutorily excluded service and is not covered."

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