LCD L36951: MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health™) — CGS
Oncology
Government source· CMS / MACverify ↗HCPCS Level II code
$27.39
2026 Physician Fee Schedule · non-facility
Source: CMS Physician Fee Schedule (PPRRVU 2026). CMS fee schedules ↗ · PFS status indicator A
National amount before geographic adjustment. Your MAC's locality rate will differ.
Code definition
Code
G0453
Code system
HCPCS Level II
Full description
Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure)
CLV Intelligence is tracking 2 policy changes that cite HCPCS G0453 most recently on 2026-06-05, drawn from 2 LCD/NCD coverage updates. The changes span Neurology and Oncology.
Counts reflect the source documents CLV has matched to HCPCS G0453 to date; each links to the government publication that is authoritative. Monitored daily from CMS, the Federal Register, and Medicare Administrative Contractor publications.
Recent policy changes matched to G0453
Matched to this code by CLV analysis of each policy. The linked source document is authoritative.
Oncology
Government source· CMS / MACverify ↗Search G0453 across all alerts
Full history of CMS and MAC policy changes matched to this code.
Audit documentation
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