Billing Beat

MolDX Excluded Tests

December 30, 2013

Through the MolDx process, specific genes/gene components were determined to be excluded tests and will be denied. If literature becomes available to substantiate the results on a specific gene are used in the management of a beneficiary’s specific medical problem, interested stakeholders may submit an Excluded Genetic Test Reconsideration Request as outlined in the MolDX Excluded Test Reconsideration Process.

Palmetto J11 for North Carolina, South Carolina, Virginia and West Virginia
Noridian JE for California, Nevada and Hawaii

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