LCDActive
MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health)
L36951
Effective: September 4, 2025
Updated: December 31, 2025
Policy Summary
This contractor provides limited coverage of the Oncotype DX DCIS assay for female patients diagnosed with DCIS who are planning breast-conserving surgery and are considering adjuvant radiation therapy. Coverage is restricted to that clinical scenario; the policy does not provide coverage details for other indications, nor does it list specific documentation or frequency limits.
Coverage Criteria Preview
Key requirements from the full policy
"Oncotype DX® DCIS assay is covered for women diagnosed with ductal carcinoma in situ (DCIS) who are planning breast-conserving surgery and are considering adjuvant radiation therapy."
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