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Billing and Coding: MolDX: Envisia, Veracyte, Idiopathic Pulmonary Fibrosis Diagnostic Test
A56898
Policy Summary
This policy provides billing and claim‑field instructions for reporting the Envisia™ (Veracyte) Genomic Classifier under LCD L37857. Claims must include the appropriate CPT and ICD‑10‑CM codes, report one unit of service (1 UOS), and include the DEX Z‑Code™ identifier adjacent to the CPT code in the specified Part A or Part B claim fields. Clinical coverage criteria are governed by LCD L37857 and are not detailed in this billing guidance.
Coverage Criteria Preview
Key requirements from the full policy
"Use these billing and coding instructions when reporting the Envisia™ Genomic Classifier (Veracyte) test for diagnosis/evaluation of suspected idiopathic pulmonary fibrosis as governed by LCD L37857."
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