LCDActive
MolDX: Envisia, Veracyte, Idiopathic Pulmonary Fibrosis Diagnostic Test
L37905
Effective: May 22, 2025
Updated: December 31, 2025
Policy Summary
Envisia (Veracyte) genomic classifier is covered for patients with interstitial lung disease who are suspected of having idiopathic pulmonary fibrosis when HRCT does not show a definitive UIP pattern and there is no known cause of ILD. The test must be performed on bronchoscopy transbronchial biopsy (TBB) tissue samples and is intended to provide a categorical UIP versus non-UIP result to help guide management and potentially avoid surgical lung biopsy; consideration is emphasized for patients older than 60 with indeterminate HRCT.
Coverage Criteria Preview
Key requirements from the full policy
"Envisia testing is covered for patients with interstitial lung disease (suspected idiopathic pulmonary fibrosis) who do not have a definitive usual interstitial pneumonia (UIP) pattern on high-reso..."
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