Noridian lets us know, it has updated a "one stop shopping" webpage for MolDx rules and policies.
https://med.noridianmedicare.com/web/jeb/policies/moldx
I've made a cut-paste below but it will look better at the actual website (above).
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Molecular Diagnostic Services
The Molecular Diagnostic Services (MolDX) Program was developed by Palmetto GBA in 2011 to identify and establish coverage and reimbursement for molecular diagnostic tests. This program performs the following functions.
- Facilitates detailed and unique identification through registration of molecular diagnostic tests to facilitate claims processing and to track utilization.
- Establishes clinical utility expectations.
- Completes technical assessments of published test data to determine clinical utility and coverage.
- Establishes reimbursement.
View MolDX Molecular Test Registration and Claims Submission
View MolDX: Molecular Test Registration Requirement for Hospital Laboratories
View the Molecular Diagnostic Program (MolDX®) Manual
View the DEX® registry
Claim Submission Reminders
- Submit only one DEX Z-Code® identifier per CPT that requires one
- Submit DEX Z-Code® identifier in Loop 2400/SV101-7
- If no DEX Z-Code® identifier is submitted, CPT will deny unprocessable
- Do not submit any other characters or test names. Doing so will slow claims processing and possibly cause incorrect denials
Noridian’s MolDX LCDs and MolDX Articles
Active MolDX LCDs - View all Active MolDX Local Coverage Determinations (LCDs)
Active MolDX Billing and Coding Articles and Educational Articles - View all active MolDX Billing and Coding and Educational Articles
Proposed MolDX LCDs - View all proposed MolDX LCDs
Responsibilities
| MolDX Contractor | Noridian | Providers in Noridian's Jurisdictions |
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