BILLING NEWS

MolDX Claim Submission Instructions Updated

All claims for molecular tests in the MolDX code ranges require additional information for processing per the Molecular Diagnostic Testing policy. In addition to the proper CPT code, the claim line must contain the test identifier (DEX Z-Code™) associated with that test.  The tests subject to this requirement include two microbiology code ranges.  Effective September 1, 2017, CPT codes 87631-87633 (Infectious agent detection by nucleic acid, respiratory virus 3-5, 6-11 and 12-25 targets, respectively), and 87149-87150 (Culture, id by nucleic acid direct and amplified probe technique, per culture or isolate, each organism probed, respectively) will require the use of a DEX Z-Code™ for Part A and Part B claims submission.   


INDUSTRY NEWS TAGS: MolDX Jurisdictions, California JE A/B MAC, Nevada JE A/B MAC, Hawaii JE A/B MAC, Guam JE A/B MAC, American Samoa JE A/B MAC, Northern Marianas JE A/B MAC, Noridian Healthcare Solutions, Oregon JF A/B MAC, Washington JF A/B MAC, Idaho JF A/B MAC, Montana JF A/B MAC, Wyoming JF A/B MAC, Nevada JF A/B MAC, Arizona JF A/B MAC, North Dakota JF A/B MAC, South Dakota JF A/B MAC, Alaska JF A/B MAC, Aleutian Islands JF A/B MAC, North Carolina JM A/B MAC, South Carolina JM A/B MAC, Virginia JM A/B MAC, West Virginia JM A/B MAC, Palmetto GBA, Ohio J15 A/B MAC, Kentucky J15 A/B MAC, CGS Administrators LLC, Iowa J5, Kansas J5, Missouri J5, J5 Nebraska, Indiana MAC J8, MAC J8 Michigan, WPS


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