Alert detail

LCD L39636: MolDX: Gene Expression Profile Tests for Decision-Making in Castration Resistant and Metastatic Prostate Cancers — Palmetto GBA

Policy ID: LCD-L39636Specialty: OncologyAdded: 9/12/2026Effective: September 22, 2024lcd
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What changed

GEP tests for mCRPC now covered under strict criteria in Palmetto JJ/JM.

Who’s affected: Oncology billing teams · Effective: September 22, 2024

Affected codes

Primary source: View the official CMS/MAC document ↗

Get the action steps and full analysis

This change affects 10 billing codes.

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