LCDActive
ProMark® Risk Score
L36704
Effective: October 23, 2025
Updated: December 31, 2025
Policy Summary
The ProMark® test is covered on a limited basis to assist selection of patients with early-stage, needle-biopsy–proven prostate cancer for conservative management (active surveillance) instead of definitive surgery or radiation. The policy states limited coverage but does not specify additional eligibility thresholds, documentation, or frequency limits.
Coverage Criteria Preview
Key requirements from the full policy
"ProMark test is covered to help determine whether patients with early-stage, needle-biopsy–proven prostate cancer can be managed conservatively (active surveillance) rather than treated with defini..."
Sign up to see full coverage criteria, indications, and limitations.