ArticleActive
Billing and Coding: KidneyIntelX and KidneyIntelX.dkd Testing
A59595
National Government Services, Inc. (J06)
Effective: August 1, 2024
Updated: December 31, 2025
Policy Summary
KidneyIntelX and KidneyIntelX.dkd testing are covered only when all criteria in the applicable LCD's Indications of Coverage are met and, if met, are reasonable and necessary once in a lifetime. Claims must include a valid ICD-10-CM diagnosis code and, where applicable, the referring/ordering physician's name and NPI; report PLA code 0105U for services 2024-04-01 through 2024-06-30 and PLS code 0407U for services on/after 2024-07-01. Procedure codes may be subject to NCCI and OPPS edits which can affect billing and payment.
Coverage Criteria Preview
Key requirements from the full policy
"KidneyIntelX or KidneyIntelX."
Sign up to see full coverage criteria, indications, and limitations.