Test reported with a Tier 1 or Tier 2 CPT code.LDT or MDT reported using an unlisted code.Laboratories seeking coverage for the following types of tests must obtain a test ID: This code, submitted on a claim, in addition to the CPT/HCPCS code, provides clarity to help ensure that both payers and providers clearly understand which test is being ordered, performed, and billed. This code is unique to a lab’s specific molecular diagnostic test (MDT), or LDT. The Diagnostic Exchange (DEX) Z-Code Identifier is a unique five-character alpha-numeric code associated with certain molecular diagnostics tests and is used by some payers as an adjunct to non-specific CPT codes. Completes technical assessments of published test data to determine clinical utility and coverage.Establishes clinical utility expectations.Facilitates detailed and unique identification through registration of molecular diagnostic tests to facilitate claims processing and to track utilization.The program primarily performs the following functions: The other participating MACs operate using the MolDX program based on joint agreements. MolDX defines a consolidated set of LCDs, articles, and coding edits. This program currently provides uniform policies for 28 states, across four Medicare Administrative Contractors (MACs). The Molecular Diagnostic Services (MolDX) Program was developed by Palmetto GBA in 2011 to identify and establish coverage reimbursement for molecular diagnostic tests. Read on below to learn more about the history of the MolDX program, the purpose of Z-Codes, and the process labs need to take to complete this registration in order to continue being able to bill for impacted tests.Ĭurrent states participating in the MolDX Program Labs in the impacted MACs (Noridian, Palmetto, CGS, and WPS) are required as of April 17, 2022, to register for a unique DEX code z-identifier through the Diagnostic Exchange to receive a fixed reimbursement for laboratory developed tests (LDTs) or “expanded” panels that test for more than five targets. Laboratories performing infectious disease testing and billing Medicare Part B within a MolDX jurisdiction are subject to a new Local Coverage Determination (LCD) that stands to significantly impact reimbursement for these services. The LCD will go into effect for CGS and Noridian on June 2, 2022. Palmetto and WPS have delayed enforcement of the LCD highlighted in this article until May 17, 2022. Get the best printers, copiers and document solutions in the nation throughout Houston and the surrounding area, including Harris County and southeast Texas.Information provided by Tami Shaw, Client Manager, Lighthouse Lab Services We also repair all models and manufacturers of business copiers and printers and provide Managed Print Services guaranteed through our DEX Declaration. We offer the best supplies, service and low prices on all the latest models from Konica, Kyocera, Canon and HP, along with software solutions for document management such as PrintCounts and DEXDOX™. We’re the nation’s print equipment authority with a local touch. With our presence in Houston, TX, DEX Imaging is the copier repair, sales and leasing leader in eastern Texas. DEXpert Copier and Printer Leasing, Supplies and Service
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |