Procedure Code Changes for Existing Coverage Policy of Emerging Molecular Pathology and Diagnostic Genetic Testing

New procedure codes may be covered for emerging molecular pathology and diagnostic genetic testing. ForwardHealth has published a list of select molecular pathology and select diagnostic genetic testing procedure codes, including new procedure codes and associated prior authorization (PA) requirements. As a reminder, Wisconsin Medicaid and BadgerCare Plus do not cover full genome and exome sequencing.

Source: https://www.forwardhealth.wi.gov/kw/pdf/2015-08.pdf