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Billing and Coding: MolDX: Molecular Testing for Identification and Management of Hereditary Transthyretin Amyloidosis
A59849
Policy Summary
Coverage follows the Local Coverage Determination L39935 for molecular testing to identify and manage hereditary transthyretin (TTR) amyloidosis. Billing requirements: submit the appropriate CPT and ICD-10-CM codes, include the DEX Z‑Code adjacent to the CPT in specified Part A/Part B claim fields, report only one test per patient with one unit of service, and do not add extra characters to the SV101‑7 DEX Z‑Code field.
Coverage Criteria Preview
Key requirements from the full policy
"Molecular genetic testing for identification and management of hereditary transthyretin (TTR) amyloidosis is covered per the referenced Local Coverage Determination L39935."
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