Alert detail

LCD L39427: MolDX: Molecular Biomarker Testing to Guide Targeted Therapy Selection in Rheumatoid Arthritis — CGS

Policy ID: LCD-L39427Specialty: RheumatologyAdded: 6/5/2026Effective: August 7, 2025lcd
High

What changed

New MolDX policy affects biomarker testing reimbursement.

Who’s affected: Rheumatology billing teams · Effective: August 7, 2025

Affected codes

Codes81599

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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