Billing and Coding: MolDX: Plasma-Based Genomic Profiling in Solid Tumors

This billing/coding guidance specifies claim submission requirements for Plasma-Based Genomic Profiling in Solid Tumors services (per LCD L38043). Providers must report the appropriate CPT and ICD-10-CM codes, enter 1 unit of service, and include the DEX Z-Code adjacent to the CPT code in the specified comment/narrative fields for Part A (SV202-7/Block 80) and Part B (Loop 2400/SV101-7/Box 19) claims; do not add extra characters to the SV101-7 line.

"When entering the DEX Z-Code on the SV101-7 documentation field for Part B claims, do not add additional characters or other information on that line."

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