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 DL40187: MolDX: Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis — Palmetto GBA
Policy LCD-DL40187 · Gastroenterology
HighThe proposed LCD for biomarker testing aims to clarify coverage criteria for metabolic dysfunction-associated conditions, potentially increasing access for necessary testing. This may lead to improved
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
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