Billing and Coding: MolDX: Predictive Classifiers for Early Stage Non-Small Cell Lung Cancer

This billing guidance states that predictive classifier tests for early-stage non-small-cell lung cancer are covered only when they meet the coverage criteria in LCD L38327. Claims must include the appropriate CPT code, one unit of service, the appropriate ICD-10-CM diagnosis code, and the applicable DEX Z‑Code identifier adjacent to the CPT code in the specified comment/narrative fields for Part A and Part B claims.

"Tests for predictive classifiers for early-stage non-small-cell lung cancer are covered when they meet the coverage criteria specified in LCD L38327."

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