Billing and Coding: MolDX: Pigmented Lesion Assay

This policy provides billing and coding instructions for the MolDX Pigmented Lesion Assay: the claim must include the appropriate CPT and ICD-10-CM codes, exactly 1 unit of service (1 UOS), and the corresponding DEX Z‑Code identifier adjacent to the CPT code. The DEX Z‑Code must be placed in specified comment/narrative fields depending on claim type and form (Part B: Loop 2400/SV101-7 for 837P or Box 19 for paper; Part A: Line SV202-7 for 837I or Block 80 on UB04).

"Select and report the appropriate CPT® code for the MolDX Pigmented Lesion Assay on the claim."

Sign up to see full coverage criteria, indications, and limitations.