Billing and Coding: MolDX: HLA-DQB1*06:02 Testing for Narcolepsy (A57441)


Related Local Coverage Determination (LCD)
L36551-MolDX: HLA-DQB1*06:02 Testing for Narcolepsy


Contractor NameContract NumberStates
Noridian Healthcare Solutions, LLC 01111 - A and B MAC California - Entire State
01112 - A and B MAC California - Northern
01182 - A and B MAC California - Southern
01211 - A and B MAC American Samoa
Guam
Hawaii
Northern Mariana Islands
01212 - A and B MAC American Samoa
Guam
Hawaii
Northern Mariana Islands
01311 - A and B MAC Nevada
01312 - A and B MAC Nevada
01911 - A and B MAC American Samoa
California - Entire State
Guam
Hawaii
Nevada
Northern Mariana Islands

Article Information

Article ID Number: A57441 Status: A-Approved

Article Title: Billing and Coding: MolDX: HLA-DQB1*06:02 Testing for Narcolepsy

Original Article Effective Date: 11/01/2019

Revision Effective Date: 07/08/2021

Article Text:

The following coding and billing guidance is to be used with its associated Local Coverage Determination.

Coding Information
Bill Type Codes:

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the policy does not apply to that Bill Type. Complete absence of all Bill Types indicates that coverage is not influenced by Bill Type and the policy should be assumed to apply equally to all claims.


CPT/HCPCS Codes:

Group 1 Paragraph:

N/A



Group 1 CPT Codes:
81383 HLA CLASS II TYPING, HIGH RESOLUTION (IE, ALLELES OR ALLELE GROUPS); ONE ALLELE OR ALLELE GROUP (EG, HLA-DQB1*06:02P), EACH


ICD-10 Codes That Are Covered

XX000 Not Applicable

ICD-10 Codes That Are Not Covered

G47.411
G47.419
G47.421
G47.429


Revision History Information
Revision History DateRevision History NumberRevision History Explanation
07/08/2021
R2

Updated to indicate this article is an LCD Reference Article.

07/08/2021
R1

Under CMS National Coverage Policy removed regulation CMS Internet-Only Manual, Pub. 100-02, Medicare Benefit Policy Manual, Chapter 15 §80 Requirements for Diagnostic X-Ray, Diagnostic Laboratory, and Other Diagnostic Tests. Added regulation CMS Internet-Only Manual, Pub. 100-02, Medicare Benefit Policy Manual, Chapter 15 §80.1.2 A/B MAC (B) Contacts With Independent Clinical Laboratories.