Billing and Coding: ProMark® Risk Score

The ProMark Risk Score assay must be billed using CPT 81479 with ICD-10-CM code C61 (malignant neoplasm of the prostate). Submit one unit of service per claim and include the appropriate DEX Z-Code identifier adjacent to the CPT code in the specified Part A or Part B claim fields; adhere to LCD L36665 for clinical coverage criteria.

"ProMark assay is reported for patients with malignant neoplasm of the prostate (ICD-10-CM code C61)."

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