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MolDX: Defining panel services in MolDX
A59685
Effective: February 29, 2024
Updated: December 31, 2025
Policy Summary
MolDX defines a molecular 'panel' as any ordered test comprising more than one analyte that is marketed as a single service, yields a single result/report, is measured in parallel, or whose clinical value depends on multiple analytes performed together. Panels must be billed as a single service (use specific panel CPT when available; otherwise use appropriate NOC codes such as 81479, 81599, or 87999), and component unbundling or separate billing based on internal lab methods is not permitted.
Coverage Criteria Preview
Key requirements from the full policy
"A service is a panel when a clinician orders a group of molecular analytes (more than 1) that are marketed and offered as a single test service."
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