Billing and Coding: MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health™)

This billing/coding article requires use of PLA code 0045U and reporting 1 unit of service when submitting Oncotype DX® Breast Cancer for DCIS claims. Include the appropriate DEX Z-Code adjacent to the CPT code in specified Part A/Part B claim fields and report an appropriate ICD-10-CM diagnosis; all billing must comply with LCD L36912.

"Select PLA code 0045U when reporting Oncotype DX® Breast Cancer for DCIS (Genomic Health™)."

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