Billing and Coding: MolDX: BluePrint® Test

The BluePrint® test is statutorily excluded from Medicare coverage due to insufficient evidence of clinical utility and is not covered (claims are denied). Claims should be submitted using CPT 81479, append GY to indicate a statutorily excluded service (GX if a voluntary ABN is issued), and include the DEX Z‑Code adjacent to the CPT code in the specified Part A/Part B claim fields.

"The BluePrint® test is statutorily excluded from Medicare coverage due to insufficient evidence of clinical utility and is not covered (claims will be denied)."

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