Billing Beat

PIK3CA Gene Test Billing and Coding Guidelines – R1

September 6, 2018

The PIK3CA Gene Tests Billing and Coding Guidelines coverage article has been revised and published for notice under contract numbers: 02102 (AK), 02202 (ID), 02302 (OR), 02402 (WA), 03102 (AZ), 03202 (MT), 03302 (ND), 03402 (SD), 03502 (UT) and 03602 (WY).

Summary of Changes: The following sentences were deleted from the first paragraph: Therefore, the MolDX Team has determined PIK3CA gene testing is a statutorily excluded service. MolDX will also deny panels of tests that include the PIK3CA gene.

Effective Date: August 28, 2017

View the locally hosted MolDX Medicare Coverage Article PDF under Covered or Excluded Tests.

Source: https://med.noridianmedicare.com/web/jfb/article-detail/-/view/10534/pik3ca-gene-tests-billing-and-coding-guidelines-r1

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