Alert detail

LCD L36425: MolDX: Breast Cancer Assay: Prosigna® — CGS

Policy ID: LCD-L36425Specialty: OncologyAdded: 6/5/2026Effective: March 19, 2026lcd
Routine

What changed

New coverage for Prosigna® assay may boost breast cancer testing profits.

Who’s affected: Oncology billing teams · Effective: March 19, 2026

Affected codes

Codes81520

Primary source: View the official CMS/MAC document ↗

Get the action steps and full analysis

This change affects 4 billing codes.

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