Code intelligence

D05.9 reimbursement alerts

Policy changes, MAC LCD updates, and CMS guidance matched to code D05.9.

Elevated code riskView ICD-10 detail

Signal breakdown

4 shown · 4 total in platform

Risk: Elevated
0

Critical

0%

1

High

25%

3

Routine

75%

0

Low

0%

New this month

alerts added in last 30 days

Effective soon

no upcoming deadlines

LCD L36951: MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health™) — CGS

Policy LCD-L36951 · Oncology

Routine

New LCD could streamline billing for Oncotype DX tests in DCIS.

LCD L36947: MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health™) — Noridian

Policy LCD-L36947 · Oncology

Routine

New billing guidelines for Oncotype DX® can impact reimbursement.

LCD L36941: MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health™) — Noridian

Policy LCD-L36941 · Oncology

Routine

compliance updates for Oncotype DX® starting 02/05/2026

Proposed LCD DL40246: MolDX: Biomarker Testing for Risk Stratification in DCIS — CGS

Policy LCD-DL40246 · Oncology

High

New LCD could enhance coverage for DCIS biomarker tests.

Audit documentation

Building an audit file that includes D05.9?

The Tripwire Audit Pack exports 12 months of Oncology policy-change history — every alert with a link to its government source document, as a formatted PDF for compliance distribution plus a machine-readable CSV. Delivered automatically after payment. No account, no call.

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