Billing and Coding: MolDX: MGMT Promoter Methylation Analysis

This billing and coding guidance requires reporting MGMT Promoter Methylation Analysis with CPT 81287 and billing under Bill Type 022x (Skilled Nursing – Inpatient) for Medicare Part B. Claims must list 1 unit of service, include an appropriate ICD-10-CM diagnosis code, and include the DEX Z-Code identifier adjacent to the CPT code in the specified claim fields depending on electronic or paper and Part A or B submission.

"Report MGMT Promoter Methylation Analysis using CPT code 81287 when billing for the test."

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