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Billing and Coding: MolDX: Signatera and Minimal Residual Disease Testing for Colorectal Cancer
A57146
Updated: December 31, 2025
Policy Summary
This billing/coding guidance for Signatera MRD testing for colorectal cancer requires selecting the appropriate CPT and ICD-10-CM codes, reporting 1 unit of service per claim, and including the DEX Z-Code adjacent to the CPT code in specified Part A and Part B claim fields. Coverage and billing must follow the referenced LCD DL38305.
Coverage Criteria Preview
Key requirements from the full policy
"The billed service is Signatera minimal residual disease (MRD) testing specifically for colorectal cancer."
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