Billing and Coding: MolDX: Envisia™, Veracyte™, Idiopathic Pulmonary Fibrosis Diagnostic Test

This policy provides billing and coding instructions for the Envisia Genomic Classifier (Veracyte) diagnostic test: report the appropriate CPT code with 1 unit of service, include the appropriate DEX Z-Code adjacent to the CPT code in the specified claim fields for Part B and Part A (electronic and paper) claims, and report the appropriate ICD-10-CM diagnosis code(s). The guidance focuses on correct placement of CPT, DEX Z-Code, and diagnosis codes to ensure accurate claim submission.

"Report the Envisia Genomic Classifier by selecting the appropriate CPT code on the claim."

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