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Billing and Coding: MolDX: Genetic Testing in Heritable Thoracic Aortic Disease
A59907
Wisconsin Physicians Service Insurance Corporation (J05)
Updated: December 31, 2025
Policy Summary
This billing/coding guidance complements MolDX LCD DL39989 for genetic testing in heritable thoracic aortic disease and requires submission of CPT 81410, 81411, or 81479 with the appropriate DEX Z-Code. Only one test (1 unit of service) may be billed per patient, and the DEX Z-Code must be entered adjacent to the CPT code in specified Part A and Part B claim fields while reporting the appropriate ICD-10-CM diagnosis code.
Coverage Criteria Preview
Key requirements from the full policy
"Genetic testing for heritable thoracic aortic disease is covered when it meets the clinical criteria in MolDX LCD DL39989."
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