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Billing and Coding: MolDX: HLA-DQB1*06:02 Testing for Narcolepsy
A57575
Wisconsin Physicians Service Insurance Corporation (J05)
Effective: June 29, 2023
Updated: December 31, 2025
See LCD L37003Policy Summary
This billing and coding article does not establish independent coverage criteria; instead, billing, coding, documentation, limitations, and frequency rules for HLA-DQB1*06:02 testing for narcolepsy are governed by the associated LCD L37003. Providers and billers must consult LCD L37003 for the specific medical necessity indications, exclusions, required documentation, and any limits on testing prior to claim submission.
Coverage Criteria Preview
Key requirements from the full policy
"Coverage indications for HLA-DQB1*06:02 testing are specified in the associated LCD L37003 and must be followed for claims under this billing/coding article."
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