Billing and Coding: MolDX: Genetic Testing for Hereditary Thrombophilia

Billing for MolDX genetic testing for hereditary thrombophilia requires use of CPT codes 81240, 81241, or 81479 with 1 unit of service per code and adherence to LCD DL40238. The appropriate DEX Z-Code must be entered adjacent to the CPT code in specified claim fields for Part A and Part B (specific loops/fields and paper/electronic form locations), and the correct ICD-10-CM diagnosis code(s) must be reported; do not add characters to the SV101-7 line when entering the DEX Z-Code.

"Bill CPT codes 81240, 81241, or 81479 for MolDX genetic testing for hereditary thrombophilia in accordance with LCD DL40238."

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