![]() ![]() Please follow the instructions on the MolDX website to assist with this process. MolDX may make available specific forms to assist with test Technical Assessments (TAs). ![]() Performing providers are required to acquire and retain records of the drugs under consideration for use or in use by the ordering physician that necessitate the use of ordered test. NCD 90:1: Testing for CYP2C9 and VKORC1 for Warfarin dosage must adhere to the requirements set forth in this NCD.īilling and Coding: MolDX: Testing of Multiple Genes A57880īilling and Coding: MolDX: Repeat Germline Testing A57100Īdditional documentation requirements for coverage and billing:.Relevant National Coverage Determinations (NCDs): The information in this article contains billing, coding or other guidelines that complement the Local Coverage Determination (LCD) for MolDX: Pharmacogenomics Testing 元8435. To license the electronic data file of UB-04 Data Specifications, contact Tim Carlson at (312) 893-6816. Manual or any portion thereof, including the codes and/or descriptions, is only authorized with an express license from the American Hospital Association. Product or publication creating any modified or derivative work of the UB-04 Manual and/or codes and descriptions and/or making any commercial use of UB-04 Making copies or utilizing the content of the UB-04 Manual, including the codes and/or descriptions, for internal purposes, resale and/or to be used in any If an entity wishes to utilize any AHA materials, please contact the AHA at 31. No portion of the American Hospital Association (AHA) copyrighted materials contained within this publication may be copied without the express written consent of the AHA.ĪHA copyrighted materials including the UB-04 codes and descriptions may not be removed, copied, or utilized within any software, product, service, solution orĭerivative work without the written consent of the AHA. All rights reserved.Ĭopyright © 2013 - 2022, the American Hospital Association, Chicago, Illinois. The AMA assumes no liability for data contained or not contained herein.Ĭurrent Dental Terminology © 2021 American Dental Association. The AMA does not directly or indirectly practice medicine or dispense medical services. Applicable FARS/HHSARS apply.įee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not ![]() Wisconsin Physicians Service Insurance CorporationĪMA CPT / ADA CDT / AHA NUBC Copyright StatementĬPT codes, descriptions and other data only are copyright 2021 American Medical Association. ![]()
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