Billing and Coding: MolDX: Next-Generation Sequencing for Solid Tumors

To bill Next-Generation Sequencing for Solid Tumors, report the appropriate CPT code with 1 unit of service, include the appropriate ICD-10-CM diagnosis code, and place the DEX Z-Code identifier adjacent to the CPT code in the specified comment/narrative claim fields. For Part B use Loop 2400 or SV101-7 (837P) electronic or Box 19 for paper; for Part A use Line SV202-7 (837I) electronic or Block 80 on the UB-04; do not add extra characters on the SV101-7 field when entering the DEX Z-Code.

"Do not add additional characters or other information on the SV101-7 documentation field when entering the DEX Z-Code for Part B claims."

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