OVA1 or ROMA for Ovarian Cancer Screening: updated

For dates of service prior to January  1, 2013, submit CPT code 84999 for OVA 1 and ROMA testing for ovarian cancer.  CGS will review the supporting documentation for individual claims to determine if the medical need is established. For dates of service on or after January 1, 2013, submit these services using the established CPT codes for OVA1 and ROMA testing (CPT codes 81500 and 81503).  CMS has established that these codes are not payable by Medicare, effective for dates of service on or after January 1, 2013. As of this date of service, CGS will no longer review for medical necessity and follow CMS guidelines.

CIGNA Government Services MAC J15 for Kentucky and Ohio