Local Coverage DeterminationOncology

LCD L36951: MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health™) — CGS

LCD-L36951

Document details

Document type
Local Coverage Determination
Issuing body
MAC Contractor
Document ID
LCD-L36951
Published
June 5, 2026
Effective date
September 4, 2025
MAC region
CGS Administrators

Summary

The implementation of the LCD for Oncotype DX® Breast Cancer testing for DCIS could significantly impact billing by providing clear guidelines on coverage and reimbursement for genomic tests. This wil

New LCD could streamline billing for Oncotype DX tests in DCIS.

Affected codes

ICD-10-CM

Affected specialty

Oncology alerts →

Source document

https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=36951&ver=20

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