Local Coverage DeterminationHematology

LCD L36400: MolDX: Genetic Testing for Hypercoagulability/Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR) — WPS

LCD-L36400

Document details

Document type
Local Coverage Determination
Issuing body
MAC Contractor
Document ID
LCD-L36400
Published
June 5, 2026
Effective date
July 31, 2025
MAC region
WPS

Summary

The implementation of this new LCD on genetic testing for hypercoagulability may create billing complexities for providers. It emphasizes the need for proper documentation and ICD-10 coding to ensure

New LCD on genetic testing may impact billing practices.

Affected codes

ICD-10-CM

Affected specialty

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Source document

https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=36400&ver=20

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