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CodeMap® LCD-L37199

 

Printer Friendly Version

L37199
LCD for MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health™) (L37199)
See related Articles:
A55648-Response to Comments: MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health™) (DL37199).
A57583-Billing and Coding: MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health™)

Contractor Information

Contractor Name: Wisconsin Physicians Service Insurance Corporation - Full list of policies of this Medicare Contractor

Contractor Number: 05302

Contractor Type: MAC B

LCD Information

LCD ID Number: L37199 Status: A-Approved

LCD Title: MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health™)

Geographic Jurisdiction: Missouri - Entire State, Missouri - Northwestern Other Jurisdictions

Original Determination Effective Date: 09/16/2017

Original Determination Ending Date:

Revision Effective Date: 10/26/2023

Revision End Date:

CMS National Coverage Policy:

Title XVIII of the Social Security Act, Section 1862(a)(1)(A) allows coverage and payment to those items and services that are reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member.

CMS Internet Only Manuals, Pub 100-02, Medicare Beneficiary Policy Manual, Chapter 15, §80 Requirements for Diagnostic X-Ray, Diagnostic Laboratory, and Other Diagnostic Tests, §80.1.1 Certification Changes.

42 C.F.R. § 410.32 “Diagnostic X-ray tests, diagnostic laboratory tests, and other diagnostic tests: Condition.”

 


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06/25/2025 02:16:55 18.97.14.90

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