Billing and Coding: MolDX: EndoPredict® Breast Cancer Gene Expression Test

This billing/coding guidance complements MolDX LCD L37663 for the EndoPredict Breast Cancer Gene Expression Test: use CPT code 81522, report 1 unit of service, and include the appropriate DEX Z-Code adjacent to the CPT code in the specified claim comment/narrative fields for Part A and Part B claims. Also include the supporting ICD-10-CM diagnosis code on the claim.

"Bill for the EndoPredict Breast Cancer Gene Expression Test when the test is performed consistent with the MolDX LCD L37663 clinical indications."

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