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Billing and Coding: MolDX: HTTLPR Gene Testing
A55265
Effective: December 17, 2021
Updated: December 31, 2025
Policy Summary
HTTLPR (serotonin transporter) genotyping is statutorily excluded and not covered due to insufficient and conflicting evidence. To obtain a denial, submit claims with CPT 81479 and follow claim filing instructions: ABN guidance (GX for voluntary ABN, GY to indicate ABN on file) and include the DEX Z-Code adjacent to the CPT code in the specified Part A and Part B claim fields.
Coverage Criteria Preview
Key requirements from the full policy
"HTTLPR (serotonin transporter) genotyping testing is a statutorily excluded service and is not covered by Medicare/Medicaid."
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