Sunday, June 23, 2024

Brief Blog: MolDx Updates Instructions for Medicare Advantage Plans

On June 18, 2024, MolDx updated its instructions for Medicare Advantage plans which have, in some cases,  begun requiring "Z codes" for molecular claims processing.   See a 360DX article here.  See an April 2024 "Executive War College" presentation by Dr. Bien-Willner of MolDx (audio + PPT) here.  See a slightly earlier Dark Daily article here.

Find the  home page here:

https://palmettogba.com/palmetto/dex.nsf/DIDC/1E4BJK8PE7~Medicare%20Advantage%20Providers

See a 3-page table of codes falling under this program, as of June 18. It's divided in 2 tables, one for DNA-RNA tests and one for proteomics tests.

https://palmettogba.com/palmetto/providers.nsf/files/Medicare_Advantage_CPT_Codes.pdf/$FILE/Medicare_Advantage_CPT_Codes.pdf