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Billing and Coding: MolDX: Envisia, Veracyte, Idiopathic Pulmonary Fibrosis Diagnostic Test
A56985
Policy Summary
This policy provides billing and coding instructions for reporting the Envisia™ Genomic Classifier (Veracyte) and supplements MolDX LCD L37905. Claims must report the appropriate CPT code with 1 unit, include the DEX Z-Code™ identifier adjacent to the CPT line in specified comment/narrative fields for Part A and Part B electronic and paper claim formats, and include an appropriate ICD-10-CM diagnosis code supporting medical necessity.
Coverage Criteria Preview
Key requirements from the full policy
"Report the Envisia™ Genomic Classifier service by selecting the appropriate CPT code on the claim."
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