FDA Approval: TERLIVAZ (TERLIPRESSIN) — Type 1 - New Molecular Entity
Policy FDA-NDA022231 · Gastroenterology
HighTerlivaz (terlipressin) is an injectable medication, likely to receive an assigned J-code for billing under Medicare Part B. Given its status as an orphan drug, it may qualify for pass-through payment
View alertProposed LCD DL38571: Colon Capsule Endoscopy (CCE) — NGS
Policy LCD-DL38571 · Gastroenterology
HighThe proposed LCD for Colon Capsule Endoscopy (CCE) may lead to increased compliance updates for gastroenterology practices, as it could allow for reimbursement for procedures that were previously n
View alertProposed LCD DL40272: MolDX: Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis — WPS
Policy LCD-DL40272 · Gastroenterology
HighThe proposed LCD for biomarker testing in metabolic liver disease may affect reimbursement practices by clarifying coverage policies which could lead to increased utilization of these tests. Providers
View alertProposed LCD DL40199: MolDX: Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis — CGS
Policy LCD-DL40199 · Gastroenterology
HighThe proposed LCD for biomarker testing may significantly impact billing practices for metabolic liver disease services. Providers will need to ensure they are compliant with the new testing requiremen
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