CodeMap® 
150 North Wacker Drive
Suite 2360
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2025
2024
QW Tests

Physician Fee Schedule

2025
2024

OPPS Fee Schedule

2025-January
2024-October

ASC Fee Schedule

2025-January
2024-October

APC Codes

2025-January
2024-October

DRG Codes

2025
2024

ASP Drug Pricing Files

2025-January
2024-October


CMS Transmittals



.

CodeMap® 10/7/2011: Palmetto LCD for Molecular Diagnostic Tests

CodeMap® Compliance Briefing: 10/07/2011


Editor's Welcome:  Palmetto GBA, the Medicare Administrative Contractor (MAC) for California, Hawaii, Nevada, Guam and American Samoa, has published a draft Local Coverage Determination (LCD) that will affect a wide variety of laboratory developed tests (LDTs) and DNA based tests currently reported using nonspecific "stacks" of molecular diagnostic codes. This proposed policy could have far reaching effects if it is adopted by other Medicare contractors and/or commercial payers as a means of limiting coverage and setting payment levels for many proprietary tests, especially DNA based assays. Today, we will summarize Palmetto's proposed policy and how it will apply to various tests and providers. As always, please contact us via email if you have any questions or comments.

Sincerely,

Gregory Root, Esq.


Palmetto LCD for Molecular Diagnostic Tests 

by: Dr. Charles B. Root

Sorry, access to this content requires a current subscription.

Click here for publications catalog.

--

CPT copyright 2024 American Medical Association. All rights reserved.

* The responsibility for the content of any "National Correct Coding Policy" included in this product is with the Centers for Medicare and Medicaid Services and no endorsement by the AMA is intended or should be implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, nonuse, or interpretation of information contained in this product.



CodeMap® is a Registered Trademark of Wheaton Partners, LLC.