Billing and Coding: MolDX: DecisionDx-UM (Uveal Melanoma)

This billing/coding guideline requires reporting DecisionDx-UM testing with CPT code 81552 and one unit of service, and mandates including the appropriate DEX Z-Code identifier adjacent to the CPT code on either Part A or Part B claim fields (specific fields vary by electronic or paper claim type). The policy also requires selection of an appropriate ICD-10-CM diagnosis code and refers to LCD MolDX: DecisionDx-UM (L37070) for clinical coverage criteria.

"No clinical coverage criteria are specified in this billing/coding guideline; refer to LCD MolDX: DecisionDx-UM (Uveal Melanoma) L37070 for clinical indications for DecisionDx-UM testing."

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