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

This billing/coding guidance specifies how to report the Envisia™ Genomic Classifier: use CPT 81554 with 1 unit of service and include the appropriate DEX Z‑Code identifier adjacent to the CPT code in the claim narrative. Place the DEX Z‑Code in the specified electronic or paper claim fields (Loop 2400/SV101-7 or Box 19 for Part B; SV202-7 or Block 80 for Part A) and report an appropriate ICD-10-CM diagnosis code; follow LCD L37919 for medical necessity and coverage criteria.

"Envisia™ Genomic Classifier testing for evaluation of suspected idiopathic pulmonary fibrosis/interstitial lung disease when coverage and medical necessity criteria of LCD L37919 are met."

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