CMS Expands Medicare Coverage for Molecular Diagnostic Tests

CMS Expands Medicare Coverage for Molecular Diagnostic Tests

The Centers for Medicare & Medicaid Services (CMS) is expanding Medicare coverage for genetic testing through the MolDX program administered by Palmetto GBA.

CMS announced two new local coverage determinations (LCDs) to cover diagnostic tests used to evaluate and manage care for patients suspected of having hereditary transthyretin amyloidosis:

  • Genetic Testing for Heritable Thoracic Aortic Disease (L39933)
  • Molecular Testing for Identification and Management of Hereditary Transthyretin Amyloidosis (L39935)

The LCDs will take effect Aug. 17 in 23 states.

Source:

https://www.cap.org/advocacy/latest-news-and-practice-data/july-8-2025

A logo with the letters 'HD' for 'HealthDay'

CMS, CDC, and HHS Seek Public Input on Potential CLIA Updates

CMS, CDC, and HHS Seek Public Input on Potential CLIA Updates

Centers for Medicare & Medicaid Services (CMS), Centers for Disease Control and Prevention (CDC), and the Department of Health and Human Services...

Read More
White Paper: The in-house vs. outsourced billing questions answered

White Paper: The in-house vs. outsourced billing questions answered

Most labs answer them as one, and that is what makes the decision expensive. Separating them is what makes it reversible. BY TELCOR WITH KWAMI...

Read More
CMS Releases October Quarterly Update to CLFS and CLIA HCPCS Codes

CMS Releases October Quarterly Update to CLFS and CLIA HCPCS Codes

The Centers for Medicare & Medicaid Services (CMS) posted the October 2026 Quarterly Update to the Clinical Laboratory Fee Schedule (CLFS) and...

Read More