Approved Gene Testing List

After a review of the current available literature, the MolDX Program has determined that testing for specific genes/gene components meets the Medicare criteria for a covered service. They have posted a list with 2016 CPT codes. They have also released a list of tests that have completed the MolDX Technical Assessment Process and limited coverage has been established. Please review the companion policy and/or article for test specific information.

• JE A/B MAC, which covers California, Nevada, Hawaii and the US Pacific Territories of Guam, American Samoa and the Northern Marianas, administered by Noridian Healthcare Solutions
• JF A/B MAC, which covers Oregon, Washington, Idaho, Montana, Wyoming, Nevada, Arizona, North Dakota, South Dakota, Alaska, and the Aleutian Islands, administered by Noridian Healthcare Solutions
• JM A/B MAC, which covers North Carolina, South Carolina, Virginia, and West Virginia, administered by Palmetto GBA
• J15 A/B MAC, which covers Ohio and Kentucky, administered by CGS Administrators, LLC