MolDX: Breast Cancer Index Genetic Assay – R3

The following JF Local Coverage Determination (LCD) has been revised under contractor numbers 02102 (AK), 02202 (ID), 02302 (OR), 02402 (WA), 03102 (AZ), 03202 (MT), 03302 (ND), 03402 (SD), 03502 (UT), 03602 (WY).

Medicare Coverage Database (MCD) Number: L36314
LCD Title: MolDX: Breast Cancer Index¿ Genetic Assay
Effective Date: January 1, 2019
Summary of Changes: Updated to include and/or remove CPT/HCPCS codes

• New/Revised CPT/HCPCS codes
  • 81518 – mRNA gene analysis of 11 genes in breast tumor tissue
• Deleted CPT/HCPCS codes
  • 81479 – unlisted molecular pathology procedure

Source: https://med.noridianmedicare.com/web/jfb/article-detail/-/view/10534/moldx-breast-cancer-index-genetic-assay-r3