UHC Policy Update – Cell-Free DNA Testing #2020T0560T

Coverage Rationale

• Updated list of examples of unproven and not medically necessary biochemical marker testing of maternal blood for maternal conditions; replaced “preeclampsia” with “e.g., PAPP-A testing for pre-eclampsia”

Applicable Codes

• Removed diagnosis codes O35.1XX1, O35.1XX2, O35.1XX3, O35.1XX4, O35.1XX5, and O35.1XX9

Supporting Information

• Updated Description of Services and Clinical Evidence sections to reflect the most current information

• Archived previous policy version 2020T0560S

Source: https://www.uhcprovider.com/content/dam/provider/docs/public/policies/index/commercial/cell-free-fetal-dna-testing-09012020.pdf