Billing and Coding: MolDX: Decision Dx-UM (Uveal Melanoma)

Billing for DecisionDx-UM (Uveal Melanoma) requires CPT code 81552 with 1 unit of service and placement of the appropriate DEX Z-Code identifier adjacent to the CPT code on claims (specific loops/boxes differ for Part A vs Part B). Coverage is governed by the clinical indications and medical necessity criteria in LCD L37210, and the appropriate ICD-10-CM diagnosis code must be submitted with the claim.

"DecisionDx-UM (Uveal Melanoma) testing is billable when the patient meets the coverage indications and medical necessity criteria described in LCD L37210."

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