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

This article provides billing and coding instructions for reporting the Oncotype DX Breast Cancer for DCIS test: use PLA code 0045U and report 1 unit of service. Include the appropriate DEX Z‑Code adjacent to the CPT code (specified claim fields differ for Part A vs Part B) and report an appropriate ICD-10-CM diagnosis code supporting the test.

"Report the Oncotype DX Breast Cancer for DCIS test using PLA code 0045U on the claim."

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