LCDActive
MolDX: NRAS Genetic Testing
L36797
Wisconsin Physicians Service Insurance Corporation (J05)
Effective: July 31, 2025
Updated: December 31, 2025
Policy Summary
MolDX covers NRAS somatic mutation testing of tumor tissue only for patients with metastatic colorectal cancer per NCCN Guidelines v2.2016 to guide anti-EGFR therapy decisions. All other NRAS testing, including testing for other tumor types and germline testing for Noonan syndrome, is non-covered due to insufficient evidence of clinical utility. The policy requires documentation of tumor tissue and mCRC diagnosis; no frequency limits are specified in the policy.
Coverage Criteria Preview
Key requirements from the full policy
"NRAS somatic mutation testing of tumor tissue is covered for patients with metastatic colorectal cancer (mCRC) to inform anti-EGFR therapy decisions, per NCCN Guidelines v2."
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