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

This billing and coding guidance states that predictive classifier tests for early-stage non-small cell lung cancer are covered only when they meet the clinical and coverage criteria in LCD L38329. Claims must report the correct CPT code with 1 unit of service and include the appropriate DEX Z-Code™ adjacent to the CPT code in the specified Part A or Part B comment/narrative claim fields; an appropriate ICD-10-CM diagnosis code must also be reported.

"Predictive classifier tests for early-stage non-small cell lung cancer are covered when they meet the clinical and coverage criteria specified in LCD MolDX: Predictive Classifiers for Early Stage N..."

Sign up to see full coverage criteria, indications, and limitations.