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Billing and Coding: MolDX: Pigmented Lesion Assay
A57868
Policy Summary
This billing and coding guideline specifies administrative requirements for reporting the MolDX Pigmented Lesion Assay (LCD L38051): submit the appropriate CPT and ICD-10-CM codes, report one unit of service, and include the DEX Z-Code adjacent to the CPT code in the specified claim fields. DEX Z-Code placement differs by claim type: for Part B use Loop 2400 or SV101-7 (837P) or Box 19 (paper); for Part A use Line SV202-7 (837I) or Block 80 on UB04.
Coverage Criteria Preview
Key requirements from the full policy
"Select and report the appropriate CPT code for the MolDX Pigmented Lesion Assay on the claim."
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