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Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment
A57559
Wisconsin Physicians Service Insurance Corporation (J05)
Effective: October 1, 2025
Updated: December 31, 2025
See LCD L36523Policy Summary
This article (A57559) provides billing and coding guidance that complements the Local Coverage Determination MolDX: Biomarkers in Cardiovascular Risk Assessment (L36523). It does not define coverage or medical necessity; coverage and documentation requirements must be determined per LCD L36523 and any contractor-specific rules. For claims, follow the LCD's medical necessity, documentation, and submission requirements.
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Key requirements from the full policy
"This billing/coding article does not itself establish coverage or medical necessity; coverage decisions and clinical indications are determined by the Local Coverage Determination MolDX: Biomarkers..."
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