Local Coverage DeterminationOncology

LCD L36380: MolDX: Breast Cancer Assay: Prosigna® — Noridian

LCD-L36380

Document details

Document type
Local Coverage Determination
Issuing body
MAC Contractor
Document ID
LCD-L36380
Published
June 5, 2026
Effective date
January 22, 2026
MAC region
Noridian

Summary

The new LCD for the Prosigna® breast cancer assay may enhance reimbursement for diagnostic services related to breast cancer management. Providers should ensure compliance with the defined criteria to

New LCD for Prosigna® may boost oncology billing.

Affected codes

ICD-10-CM

Affected specialty

Oncology alerts →

Source document

https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=36380&ver=27

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