LCDActive
MolDX: EndoPredict® Breast Cancer Gene Expression Test
L37295
Effective: July 11, 2021
Updated: December 31, 2025
Policy Summary
This contractor provides limited coverage for the EndoPredict® test only for post-menopausal women with early-stage (T1-T3, N0-N1) ER-positive, HER2-negative breast cancer who are node-negative or have 1–3 positive nodes and for whom adjuvant endocrine therapy is being considered. The test is intended to identify patients at sufficiently low 10-year distant recurrence risk who may safely forgo chemotherapy; coverage does not extend to patients outside this specified population.
Coverage Criteria Preview
Key requirements from the full policy
"Coverage for the EndoPredict® breast cancer gene expression test is provided for post-menopausal women with early-stage invasive breast cancer (TNM stage T1-T3, N0-N1) that is estrogen receptor (ER..."
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