Alert detail

LCD L36811: MolDX: Breast Cancer Assay: Prosigna® — WPS

Policy ID: LCD-L36811Specialty: OncologyAdded: 9/12/2026Effective: May 1, 2025lcd
Low

What changed

Prosigna® breast cancer assay coverage now active in WPS J5/J8 regions.

Who’s affected: Oncology billing teams · Effective: May 1, 2025

Affected codes

Codes81519

Primary source: View the official CMS/MAC document ↗

Get the action steps and full analysis

This change affects 6 billing codes.

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