ArticleActive
Billing and Coding: MolDX: Melanoma Risk Stratification Molecular Testing
A56961
Effective: October 1, 2025
Updated: December 31, 2025
Policy Summary
This billing and coding guidance requires reporting the appropriate CPT and ICD-10-CM codes, entering 1 unit of service, and including the appropriate DEX Z-Code adjacent to the CPT code in specified comment/narrative fields for Part A and Part B claims (Loop 2400/SV101-7/Box 19 for Part B; SV202-7/Block 80 for Part A). Do not add additional characters or information on the SV101-7 line when entering the DEX Z-Code.
Coverage Criteria Preview
Key requirements from the full policy
"Do not add additional characters or other information on the SV101-7 line when entering the DEX Z-Code for Part B claims."
Sign up to see full coverage criteria, indications, and limitations.