Laboratory Management
Please note:
Adobe PDF Reader is required to view clinical guideline documents.
There may be instances in which your health plan policies take precedence over the EviCore by Evernorth clinical guidelines. If you have any questions, please reach out to your health plan.
Follow the below steps to access the clinical guidelines.
- Enter your Health Plan name into the search field and click on the magnifying glass.
- To access the guideline specific to your request, locate the guideline that the decision was based on from within your letter.
- Identify the guideline title and then search for that guideline title by scrolling down on the page or entering the guideline title into the guideline title search field.
- Open the guideline document.
Example:
The statement in your letter reads:
We based this decision on the guideline as listed below:
-MTHFR Variant Analysis for Hyperhomocysteinemia (MOL.TX.205).
Enter your Health Plan name into the search field and click on the magnifying glass.
Enter the guideline title into the search field for the guideline name.
Once the search results appear, click on the guideline to open it.
If you require a copy of the guidelines that were used to make a determination on a specific request of treatment or services, please email the case number and request to: reqcriteria@EviCore.com.
To request any additional assistance in accessing the guidelines, provide feedback or clinical evidence related to the evidence-based guidelines, please click here.
EviCore coverage policies include background and supporting information and citations for sources used to develop the policy. Some clinical policies may have a supplemental literature summary available which will provide additional commentary regarding clinical benefits and harms to the patient population being served. Additional literature summaries may be accessed by selecting ‘Supplemental Information’ and then entering “EviCore by Evernorth” in the search by health plan function.
Code Lists
Guidelines
-
MOL.AD.107.A Unique Test Identifiers for Non-Specific Procedure Codes
-
MOL.AD.304.A Medical Necessity Review Information Requirements
-
MOL.AD.314.A Date of Service and Authorization Period Effective Date
-
MOL.AD.364.A Special Circumstances Influencing Coverage Determinations
-
MOL.AD.391.A Laboratory Procedure Code Requirements
-
MOL.CU.109.A Genetic Testing for Cancer Susceptibility and Hereditary Cancer Syndromes
-
MOL.CU.110.A Genetic Testing for Carrier Status
-
MOL.CU.111.A Genetic Testing for Non-Medical Purposes
-
MOL.CU.112.A Genetic Testing for Prenatal Screening and Diagnostic Testing
-
MOL.CU.113.A Genetic Testing for the Screening, Diagnosis, and Monitoring of Cancer
-
MOL.CU.114.A Genetic Testing to Diagnose Non-Cancer Conditions
-
MOL.CU.115.A Genetic Testing to Predict Disease Risk
-
MOL.CU.116.A Genetic Testing by Multigene Panels
-
MOL.CU.117.I Experimental, Investigational or Unproven Laboratory Testing
-
MOL.CU.118.A Pharmacogenomic Testing for Drug Toxicity and Response
-
MOL.CU.119.A Preimplantation Genetic Screening and Diagnosis
-
MOL.CU.246.A Hereditary (Germline) Testing After Tumor (Somatic) Testing
-
MOL.CU.256.A Confirmatory Genetic Testing
-
MOL.CU.291.A Genetic Testing for Known Familial Mutations
-
MOL.CU.292.A Genetic Testing for Variants of Uncertain Clinical Significance
-
MOL.CU.298.A Genetic Presymptomatic and Predictive Testing for Adult-Onset Conditions in Minors
-
MOL.CU.398.A Infectious Disease Laboratory Testing
-
MOL.CS.103.A Flow Cytometry
-
MOL.CS.104.A Immunohistochemistry (IHC)
-
MOL.CS.105.A Laboratory Claim Reimbursement
-
MOL.CS.106.A Sexually Transmitted and Other Reproductive Tract Infection
-
MOL.CS.108.A UroVysion FISH for Bladder Cancer
-
MOL.CS.146.A HLA Typing for Celiac Disease
-
MOL.CS.185.A HIV Tropism Testing for Maraviroc Response
-
MOL.CS.218.A Prenatal Aneuploidy FISH Testing
-
MOL.CS.277.A Gastrointestinal Pathogen Panel (GIPP) Molecular Testing
-
MOL.CS.289.A Chromosome Analysis for Reproductive Disorders, Prenatal Testing, and Developmental Disorders
-
MOL.CS.293.I Respiratory Infection Pathogen Panel (RIPP) Molecular Testing
-
MOL.CS.321.A Human Immunodeficiency Virus Laboratory Testing
-
MOL.CS.332.A Lyme Disease Testing
-
MOL.CS.333.A Medically Necessary Laboratory Testing
-
MOL.CS.362.A Human Papillomavirus (HPV) Molecular Testing
-
MOL.CS.363.A Pathology Testing with Mohs Micrographic Surgery
-
MOL.CS.402.A Nail Disorder Infectious Disease Testing, Including Onychomycosis
-
MOL.CS.403.A Urinary Tract Infection Molecular Testing
-
MOL.TS.122.A Afirma Thyroid Cancer Classifier Tests
-
MOL.TS.123.A AlloMap Gene Expression Profiling For Heart Transplant Rejection
-
MOL.TS.124.A Alpha-1 Antitrypsin Deficiency Testing
-
MOL.TS.125.A Amyotrophic Lateral Sclerosis (ALS) Genetic Testing
-
MOL.TS.128.A APOE Variant Analysis for Alzheimer Disease Testing
-
MOL.TS.129.A Ashkenazi Jewish Carrier Screening
-
MOL.TS.130.A Ataxia-Telangiectasia Genetic Testing
-
MOL.TS.132.A Bloom Syndrome Genetic Testing
-
MOL.TS.144.A CADASIL Genetic Testing
-
MOL.TS.145.A Canavan Disease Genetic Testing
-
MOL.TS.148.A Charcot-Marie-Tooth Neuropathy Genetic Testing
-
MOL.TS.150.A Chromosomal Microarray Testing For Developmental Disorders (Prenatal and Postnatal)
-
MOL.TS.151.A Chromosome Analysis for Blood and Bone Marrow Cancers
-
MOL.TS.153.A ConfirmMDx for Prostate Cancer Risk Assessment
-
MOL.TS.158.A Cystic Fibrosis Genetic Testing
-
MOL.TS.159.A Dentatorubral-Pallidoluysian Atrophy Genetic Testing
-
MOL.TS.161.A Duchenne and Becker Muscular Dystrophy Testing
-
MOL.TS.162.A Early Onset Familial Alzheimer Disease Genetic Testing
-
MOL.TS.164.A SEPT9 Methylation Analysis for Colorectal Cancer
-
MOL.TS.165.A Expanded Carrier Screening Panels
-
MOL.TS.168.A Familial Adenomatous Polyposis Genetic Testing
-
MOL.TS.169.A Familial Hypercholesterolemia Genetic Testing
-
MOL.TS.170.A Familial Malignant Melanoma Genetic Testing
-
MOL.TS.172.A FMR1-Related Disorders (Fragile X) Genetic Testing
-
MOL.TS.173.A Gaucher Disease Genetic Testing
-
MOL.TS.182.A Hereditary Cancer Syndrome Multigene Panels
-
MOL.TS.183.A HFE Hemochromatosis Genetic Testing
-
MOL.TS.188.A Huntington Disease Genetic Testing
-
MOL.TS.193.A Li-Fraumeni Syndrome Genetic Testing
-
MOL.TS.194.A Liquid Biopsy Testing
-
MOL.TS.197.A Lynch Syndrome Genetic Testing
-
MOL.TS.200.A Mammaprint 70-Gene Breast Cancer Recurrence Assay
-
MOL.TS.202.A Marfan Syndrome Genetic Testing
-
MOL.TS.206.A MUTYH Associated Polyposis Genetic Testing
-
MOL.TS.207.A Niemann-Pick Disease Types A and B GeneticTesting
-
MOL.TS.208.A Niemann-Pick Disease Type C Genetic Testing
-
MOL.TS.209.A Non-Invasive Prenatal Screening
-
MOL.TS.211.I Oncotype DX for Breast Cancer Prognosis
-
MOL.TS.213.A Oncotype DX for Colorectal Cancer Recurrence Risk
-
MOL.TS.216.A: Peutz-Jeghers Syndrome Genetic Testing
-
MOL.TS.217.A: Prader-Willi Syndrome Genetic Testing
-
MOL.TS.222.A: Prosigna Breast Cancer Prognostic Gene Signature Assay
-
MOL.TS.223.A: PTEN Hamartoma Tumor Syndromes Genetic Testing
-
MOL.TS.224.A: Rett Syndrome Genetic Testing
-
MOL.TS.225.A: Spinal Muscular Atrophy Genetic Testing
-
MOL.TS.226.A: Tay-Sachs Disease Genetic Testing
-
MOL.TS.227.A: Thoracic Aortic Aneurysms and Dissections (TAAD) Panel Genetic Testing
-
MOL.TS.228.A: Tissue of Origin Testing for Cancer of Unknown Primary
-
MOL.TS.230.A Somatic Mutation Testing
-
MOL.TS.233.A: Von Hippel-Lindau Disease Genetic Testing
-
MOL.TS.234.A: EndoPredict for Breast Cancer Prognosis
-
MOL.TS.235.AI: Exome Sequencing
-
MOL.TS.236.A: Cxbladder
-
MOL.TS.238.A: BRCA Analysis
-
MOL.TS.240.A: BCR-ABL Negative Myeloproliferative Neoplasm Testing
-
MOL.TS.248.A: Breast Cancer Index for Breast Cancer Prognosis
-
MOL.TS.250.A: NETest
-
MOL.TS.251.A: PALB2 Genetic Testing for Breast Cancer Risk
-
MOL.TS.254.A: DecisionDX Uveal Melanoma
-
MOL.TS.255.A: Oncotype DX Breast DCIS
-
MOL.TS.257.A: Epilepsy Genetic Testing
-
MOL.TS.258.A: Maturity-Onset Diabetes of the Young (MODY) Genetic Testing
-
MOL.TS.259.I: ThyGeNEXT and ThyraMIR miRNA Gene Expression Classifier
-
MOL.TS.264.A: SelectMDx
-
MOL.TS.266.A: Mitochondrial Disorders Genetic Testing
-
MOL.TS.267.A: Ehlers-Danlos Syndrome Genetic Testing
-
MOL.TS.268.A: Hereditary Connective Tissue Disorder Genetic Testing
-
MOL.TS.269.A: Autism, Intellectual Disability, and Developmental Delay Genetic Testing
-
MOL.TS.270.I: ThyroSeq
-
MOL.TS.271.A: PancraGEN
-
MOL.TS.273.A: Nonsyndromic Hearing Loss and Deafness Genetic Testing
-
MOL.TS.276.A: Polymerase Gamma (POLG) Related Disorders Genetic Testing
-
MOL.TS.282.A: DermTech Pigmented Lesion Assay
-
MOL.TS.285.A: Multiple Endocrine Neoplasia Type 1 Genetic Testing
-
MOL.TS.286.A: Multiple Endocrine Neoplasia Type 2 Genetic Testing
-
MOL.TS.287.A: Hereditary Pancreatitis Genetic Testing
-
MOL.TS.288.A: Limb-Girdle Muscular Dystrophy Genetic Testing
-
MOL.TS.290.A: Facioscapulohumeral Muscular Dystrophy Genetic Testing
-
MOL.TS.294.A: Decipher Prostate Cancer Classifier
-
MOL.TS.295.A: Genomic Prostate Score
-
MOL.TS.297.A: Prolaris
-
MOL.TS.301.A: Neurofibromatosis Type 1 Genetic Testing
-
MOL.TS.302.A: Legius Syndrome Genetic Testing
-
MOL.TS.306.AI: Genome Sequencing
-
MOL.TS.307.A: AlloSure for Kidney Transplant Rejection
-
MOL.TS.308.A: Hemoglobinopathies Genetic Testing
-
MOL.TS.309.A: Friedreich Ataxia Genetic Testing
-
MOL.TS.310.A: Hereditary Ataxia Multigene Panel Testing
-
MOL.TS.311.A: Spinocerebellar Ataxia Genetic Testing
-
MOL.TS.312.A: Myotonic Dystrophy Type 1 Genetic Testing
-
MOL.TS.324.A: CHARGE Syndrome and CHD7 Disorder Genetic Testing (previously CHARGE Syndrome Genetic Testing)
-
MOL.TS.344.A: Chromosomal Microarray for Solid Tumors
-
MOL.TS.356.A: Microsatellite Instability and Immunohistochemistry Testing in Cancer
-
MOL.TS.360.A: Inherited Bone Marrow Failure Syndrome (IBMFS) Testing
-
MOL.TS.361.A: Human Platelet and Red Blood Cell Antigen Genotyping
-
MOL.TS.370.A: Inherited Thrombophilia Genetic Testing
-
MOL.TS.371.A: Noonan Spectrum Disorder Genetic Testing
-
MOL.TS.396.A: Multi-Cancer Early Detection Screening
-
MOL.TS.410.A: Cardiomyopathy and Arrhythmia Genetic Testing
Code Lists
Guidelines
-
MOL.AD.107.A Unique Test Identifiers for Non-Specific Procedure CodesEffective 01/01/2025 - 06/30/2025
-
MOL.AD.304.A Medical Necessity Review Information RequirementsEffective 01/01/2025 - 06/30/2025
-
MOL.AD.314.A Date of Service and Authorization Period Effective DateEffective 01/01/2025 - 06/30/2025
-
MOL.AD.364.A Special Circumstances Influencing Coverage DeterminationsEffective 01/01/2025 - 06/30/2025
-
MOL.AD.412.BO Laboratory Billing and ReimbursementEffective 01/01/2025 - 06/30/2025
-
MOL.CU.109.A Genetic Testing for Cancer Susceptibility and Hereditary Cancer SyndromesEffective 01/01/2025 - 06/30/2025
-
MOL.CU.110.A Genetic Testing for Carrier StatusEffective 01/01/2025 - 06/30/2025
-
MOL.CU.111.A Genetic Testing for Non-Medical PurposesEffective 01/01/2025 - 06/30/2025
-
MOL.CU.112.A Genetic Testing for Prenatal Screening and Diagnostic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.CU.113.A Genetic Testing for the Screening, Diagnosis, and Monitoring of CancerEffective 01/01/2025 - 06/30/2025
-
MOL.CU.114.A Genetic Testing to Diagnose Non-Cancer ConditionsEffective 01/01/2025 - 06/30/2025
-
MOL.CU.115.A Genetic Testing to Predict Disease RiskEffective 01/01/2025 - 06/30/2025
-
MOL.CU.116.A Genetic Testing by Multigene PanelsEffective 01/01/2025 - 06/30/2025
-
MOL.CU.117.I Experimental, Investigational, or Unproven Laboratory TestingEffective 01/01/2025 - 06/30/2025
-
MOL.CU.118.A Pharmacogenomic Testing for Drug Toxicity and ResponseEffective 01/01/2025 - 06/30/2025
-
MOL.CU.119.A Preimplantation Genetic Screening and DiagnosisEffective 01/01/2025 - 06/30/2025
-
MOL.CU.246.A Hereditary (Germline) Testing After Tumor (Somatic) TestingEffective 01/01/2025 - 06/30/2025
-
MOL.CU.256.A Confirmatory Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.CU.291.A Genetic Testing for Known Familial MutationsEffective 01/01/2025 - 06/30/2025
-
MOL.CU.292.A Genetic Testing for Variants of Uncertain Clinical SignificanceEffective 01/01/2025 - 06/30/2025
-
MOL.CU.398.A Infectious Disease Laboratory TestingEffective 01/01/2025 - 06/30/2025
-
MOL.CS.103.A Flow CytometryEffective 01/01/2025 - 06/30/2025
-
MOL.CS.104.A Immunohistochemistry (IHC)Effective 01/01/2025 - 06/30/2025
-
MOL.CS.106.A Sexually Transmitted and Other Reproductive Tract Infection TestingEffective 01/01/2025 - 06/30/2025
-
MOL.CS.108.A UroVysion FISH for Bladder CancerEffective 01/01/2025 - 06/30/2025
-
MOL.CS.146.A HLA Typing for Celiac DiseaseEffective 01/01/2025 - 06/30/2025
-
MOL.CS.185.A HIV Tropism Testing for Maraviroc ResponseEffective 01/01/2025 - 06/30/2025
-
MOL.CS.218.A Prenatal Aneuploidy FISH TestingEffective 01/01/2025 - 06/30/2025
-
MOL.CS.277.A Gastrointestinal Pathogen Panel (GIPP) Molecular TestingEffective 01/01/2025 - 06/30/2025
-
MOL.CS.289.A Chromosome Analysis for Reproductive Disorders, Prenatal Testing, and Developmental DisordersEffective 01/01/2025 - 06/30/2025
-
MOL.CS.293.I Respiratory Infection Pathogen Panel (RIPP) Molecular TestingEffective 01/01/2025 - 06/30/2025
-
MOL.CS.321.A Human Immunodeficiency Virus Laboratory TestingEffective 01/01/2025 - 06/30/2025
-
MOL.CS.332.A Lyme Disease TestingEffective 01/01/2025 - 06/30/2025
-
MOL.CS.333.A Medically Necessary Laboratory TestingEffective 01/01/2025 - 06/30/2025
-
MOL.CS.362.A Human Papillomavirus (HPV) Molecular TestingEffective 01/01/2025 - 06/30/2025
-
MOL.CS.363.A Pathology Testing with Mohs Micrographic SurgeryEffective 01/01/2025 - 06/30/2025
-
MOL.CS.402.A Nail Disorder Infectious Disease Testing, Including OnychomycosisEffective 01/01/2025 - 06/30/2025
-
MOL.CS.403.A Urinary Tract Infection Molecular TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.122.A Afirma Thyroid Cancer Classifier TestsEffective 01/01/2025 - 06/30/2025
-
MOL.TS.123.A AlloMap Gene Expression Profiling For Heart Transplant RejectionEffective 01/01/2025 - 06/30/2025
-
MOL.TS.124.A Alpha-1 Antitrypsin Deficiency TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.125.A Amyotrophic Lateral Sclerosis (ALS) Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.126.A Angelman Syndrome Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.128.A APOE Variant Analysis for Alzheimer Disease TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.129.A Ashkenazi Jewish Carrier ScreeningEffective 01/01/2025 - 06/30/2025
-
MOL.TS.130.A Ataxia-Telangiectasia Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.144.A CADASIL Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.148.A Charcot-Marie-Tooth Neuropathy Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.150.A Chromosomal Microarray Testing For Developmental Disorders (Prenatal and Postnatal)Effective 01/01/2025 - 06/30/2025
-
MOL.TS.151.A Chromosome Analysis for Blood and Bone Marrow CancersEffective 01/01/2025 - 06/30/2025
-
MOL.TS.153.A ConfirmMDx for Prostate Cancer Risk AssessmentEffective 01/01/2025 - 06/30/2025
-
MOL.TS.158.A Cystic Fibrosis Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.159.A Dentatorubral-Pallidoluysian Atrophy Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.161.A Duchenne and Becker Muscular Dystrophy TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.162.A Early Onset Familial Alzheimer Disease Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.164.A SEPT9 Methylation Analysis for Colorectal CancerEffective 01/01/2025 - 06/30/2025
-
MOL.TS.165.A Carrier Screening Panels, Including Targeted, Pan-Ethnic, Universal, and ExpandedEffective 01/01/2025 - 06/30/2025
-
MOL.TS.168.A Familial Adenomatous Polyposis Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.169.A Familial Hypercholesterolemia Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.170.A Familial Malignant Melanoma Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.172.A FMR1-Related Disorders (Fragile X) Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.182.A Hereditary Cancer Syndrome Multigene PanelsEffective 01/01/2025 - 06/30/2025
-
MOL.TS.183.A HFE Hemochromatosis Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.188.A Huntington Disease Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.193.A Li-Fraumeni Syndrome Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.194.A Liquid Biopsy TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.197.A Lynch Syndrome Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.199.A Lynch Syndrome Tumor Screening - Second-TierEffective 01/01/2025 - 06/30/2025
-
MOL.TS.200.A Mammaprint 70-Gene Breast Cancer Recurrence AssayEffective 01/01/2025 - 06/30/2025
-
MOL.TS.202.A Marfan Syndrome Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.206.A MUTYH Associated Polyposis Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.209.A Non-Invasive Prenatal ScreeningEffective 01/01/2025 - 06/30/2025
-
MOL.TS.211.I Oncotype DX for Breast Cancer PrognosisEffective 01/01/2025 - 06/30/2025
-
MOL.TS.213.A Oncotype DX for Colorectal Cancer Recurrence RiskEffective 01/01/2025 - 06/30/2025
-
MOL.TS.215.A PCA3 Testing for Prostate CancerEffective 01/01/2025 - 06/30/2025
-
MOL.TS.216.A Peutz-Jeghers Syndrome Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.217.A Prader-Willi Syndrome Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.222.A: Prosigna Breast Cancer Prognostic Gene Signature AssayEffective 01/01/2025 - 06/30/2025
-
MOL.TS.223.A: PTEN Hamartoma Tumor Syndromes Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.224.A: Rett Syndrome Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.225.A: Spinal Muscular Atrophy Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.227.A: Thoracic Aortic Aneurysms and Dissections (TAAD) Panel Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.228.A: Tissue of Origin Testing for Cancer of Unknown PrimaryEffective 01/01/2025 - 06/30/2025
-
MOL.TS.230.A: Somatic Mutation TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.233.A: Von Hippel-Lindau Disease Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.234.A: EndoPredict for Breast Cancer PrognosisEffective 01/01/2025 - 06/30/2025
-
MOL.TS.235.AI: Exome SequencingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.236.A: CxbladderEffective 01/01/2025 - 06/30/2025
-
MOL.TS.238.A: BRCA AnalysisEffective 01/01/2025 - 06/30/2025
-
MOL.TS.240.A: BCR-ABL Negative Myeloproliferative Neoplasm Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.248.A: Breast Cancer Index for Breast Cancer PrognosisEffective 01/01/2025 - 06/30/2025
-
MOL.TS.250.A: NETestEffective 01/01/2025 - 06/30/2025
-
MOL.TS.251.A: PALB2 Genetic Testing for Cancer RiskEffective 01/01/2025 - 06/30/2025
-
MOL.TS.254.A DecisionDX Uveal MelanomaEffective 01/01/2025 - 06/30/2025
-
MOL.TS.255.A Oncotype DX Breast DCISEffective 01/01/2025 - 06/30/2025
-
MOL.TS.257.A Epilepsy Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.258.A Maturity-Onset Diabetes of the Young Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.259.I ThyGeNEXT and ThyraMIR miRNA Gene Expression ClassifierEffective 01/01/2025 - 06/30/2025
-
MOL.TS.264.A SelectMDxEffective 01/01/2025 - 06/30/2025
-
MOL.TS.266.A Mitochondrial Disorders Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.267.A Ehlers-Danlos Syndrome Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.268.A: Hereditary Connective Tissue Disorder Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.269.A Autism, Intellectual Disability, and Developmental Delay Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.270.I ThyroSeqEffective 01/01/2025 - 06/30/2025
-
MOL.TS.271.A PancraGENEffective 01/01/2025 - 06/30/2025
-
MOL.TS.273.A: Nonsyndromic Hearing Loss and Deafness Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.276.A Polymerase Gamma (POLG) Related Disorders Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.282.A: DermTech Pigmented Lesion AssayEffective 01/01/2025 - 06/30/2025
-
MOL.TS.285.A: Multiple Endocrine Neoplasia Type 1 Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.286.A: Multiple Endocrine Neoplasia Type 2 Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.287.A: Hereditary Pancreatitis Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.288.A Limb-Girdle Muscular Dystrophy Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.290.A: Facioscapulohumeral Muscular Dystrophy Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.294.A Decipher Prostate Cancer ClassifierEffective 01/01/2025 - 06/30/2025
-
MOL.TS.295.A Genomic Prostate ScoreEffective 01/01/2025 - 06/30/2025
-
MOL.TS.297.A ProlarisEffective 01/01/2025 - 06/30/2025
-
MOL.TS.301.A Neurofibromatosis Type 1 Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.302.A Legius Syndrome Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.306.AI Genome SequencingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.307.A AlloSure for Kidney Transplant RejectionEffective 01/01/2025 - 06/30/2025
-
MOL.TS.308.A Hemoglobinopathies Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.309.A Friedreich Ataxia Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.310.A Hereditary Ataxia Multigene Panel Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.311.A Spinocerebellar Ataxia Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.312.A Myotonic Dystrophy Type 1 Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.324.A: CHARGE Syndrome and CHD7 Disorder Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.344.A Chromosomal Microarray for Solid TumorsEffective 01/01/2025 - 06/30/2025
-
MOL.TS.356.A Microsatellite Instability and Immunohistochemistry Testing in CancerEffective 01/01/2025 - 06/30/2025
-
MOL.TS.359.A Inflammatory Bowel Disease Biomarker TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.360.A Inherited Bone Marrow Failure Syndrome (IBMFS) TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.361.A Human Platelet and Red Blood Cell Antigen GenotypingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.370.A Inherited Thrombophilia Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.371.A Noonan Spectrum Disorder Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.396.A Multi-Cancer Early Detection ScreeningEffective 01/01/2025 - 06/30/2025
-
MOL.TS.410.A Cardiomyopathy and Arrhythmia Genetic TestingEffective 01/01/2025 - 06/30/2025
-
MOL.TS.413.A: ColoSense for Colorectal CancerEffective 01/01/2025 - 06/30/2025
Code Lists
-
Lab Management Code ListEffective 10/01/2022 - 12/31/2022
-
Lab Management Code ListEffective 01/01/2021 - 03/31/2021
-
Lab Management Code ListEffective 01/01/2022 - 03/31/2022
-
Lab Management Code ListEffective 10/01/2023 - 12/31/2023
-
Lab Management Code ListEffective 04/01/2023 - 06/30/2023
-
Lab Management Code ListEffective 07/01/2021 - 09/30/2021
-
Lab Management Code ListEffective 11/23/2020 - 12/31/2020
-
Lab Management Code ListEffective 10/01/2021 - 12/31/2021
-
Lab Management Code ListEffective 07/01/2022 - 09/30/2022
-
Lab Management Code ListEffective 04/01/2022 - 06/30/2022
-
Lab Management Code ListEffective 04/01/2021 - 06/30/2021
-
Lab Management Code ListEffective 01/01/2024 - 03/31/2024
-
Lab Management Code ListEffective 04/01/2024 - 06/30/2024
-
Lab Management Code ListEffective 01/01/2023 - 03/31/2023
-
Lab Management Code ListEffective 07/01/2024 - 09/30/2024
-
Lab Management Code ListEffective 07/01/2023 - 09/30/2023
Guidelines
-
ABL Tyrosine Kinase Sequencing for Chronic Myeloid LeukemiaEffective 07/01/2019 - 12/31/2019
-
ABL Tyrosine Kinase Sequencing for Chronic Myeloid LeukemiaEffective 01/01/2020 - 06/30/2020
-
Afirma Thyroid Cancer Classifer TestsEffective 01/01/2020 - 06/30/2020
-
Afirma Thyroid Cancer Classifer TestsEffective 07/01/2019 - 12/31/2019
-
AlloMap Gene Expression Profiling For Heart Transplant RejectionEffective 07/01/2019 - 12/31/2019
-
AlloMap Gene Expression Profiling For Heart Transplant RejectionEffective 01/01/2020 - 06/30/2020
-
AlloSureEffective 07/01/2019 - 12/31/2019
-
AlloSureEffective 01/01/2020 - 06/30/2020
-
Alpha-1 Antitrypsin Deficiency TestingEffective 07/01/2019 - 12/31/2019
-
Alpha-1 Antitrypsin Deficiency TestingEffective 01/01/2020 - 06/30/2020
-
AmeriHealth Lab Management GuidelinesEffective 07/02/2018 - 01/01/2019
-
AmeriHealth Lab Management GuidelinesEffective 07/01/2020 - 12/31/2020
-
AmeriHealth Lab Management GuidelinesEffective 07/01/2019 - 12/31/2019
-
AmeriHealth Lab Management GuidelinesEffective 01/01/2024 - 06/30/2024
-
AmeriHealth Lab Management GuidelinesEffective 07/01/2021 - 12/31/2021
-
AmeriHealth Lab Management GuidelinesEffective 07/03/2017 - 01/01/2018
-
AmeriHealth Lab Management GuidelinesEffective 01/01/2020 - 06/30/2020
-
AmeriHealth Lab Management GuidelinesEffective 07/01/2022 - 12/31/2022
-
AmeriHealth Lab Management GuidelinesEffective 01/01/2022 - 06/30/2022
-
AmeriHealth Lab Management GuidelinesEffective 01/02/2018 - 07/01/2018
-
AmeriHealth Lab Management GuidelinesEffective 01/02/2019 - 06/30/2019
-
AmeriHealth Lab Management GuidelinesEffective 01/01/2021 - 06/30/2021
-
AmeriHealth PA Lab Management GuidelinesEffective 01/01/2023 - 06/30/2023
-
AmeriHealth PA Lab Management GuidelinesEffective 07/01/2023 - 12/31/2023
-
AML Genetic TestingEffective 01/01/2020 - 06/30/2020
-
AML Genetic TestingEffective 07/01/2019 - 12/31/2019
-
Amyotrophic Lateral Sclerosis ALS Genetic TestingEffective 01/01/2020 - 06/30/2020
-
Amyotrophic Lateral Sclerosis ALS Genetic TestingEffective 07/01/2019 - 12/31/2019
-
Angelman Syndrome TestingEffective 01/01/2020 - 06/30/2020
-
Angelman Syndrome TestingEffective 07/01/2019 - 12/31/2019
-
APOE Variant Analysis for Alzheimer DiseaseEffective 01/01/2020 - 06/30/2020
-
APOE Variant Analysis for Alzheimer DiseaseEffective 07/01/2019 - 12/31/2019
-
Ashkenazi Jewish Carrier ScreeningEffective 07/01/2019 - 12/31/2019
-
Ashkenazi Jewish Carrier ScreeningEffective 01/01/2020 - 06/30/2020
-
AssureMDxEffective 01/01/2020 - 06/30/2020
-
AssureMDxEffective 07/01/2019 - 12/31/2019
-
Ataxia - Telangiectasia TestingEffective 01/01/2020 - 06/30/2020
-
Ataxia - Telangiectasia TestingEffective 07/01/2019 - 12/31/2019
-
BCR-ABL Negative MyeloproliferativeEffective 07/01/2019 - 12/31/2019
-
BCR-ABL Negative MyeloproliferativeEffective 01/01/2020 - 06/30/2020
-
BCR-ABL Testing for Chronic Myelogenous LeukemiaEffective 01/01/2020 - 06/30/2020
-
BCR-ABL Testing for Chronic Myelogenous LeukemiaEffective 07/01/2019 - 12/31/2019
-
Bloom Syndrome TestingEffective 07/01/2019 - 12/31/2019
-
Bloom Syndrome TestingEffective 01/01/2020 - 06/30/2020
-
BRAF Testing for Colorectal CancerEffective 01/01/2020 - 06/30/2020
-
BRAF Testing for Colorectal CancerEffective 07/01/2019 - 12/31/2019
-
BRAF Testing for Melanoma Kinase Inhibitor ResponseEffective 07/01/2019 - 12/31/2019
-
BRAF Testing for Melanoma Kinase Inhibitor ResponseEffective 01/01/2020 - 06/30/2020
-
BRCA AnalysisEffective 07/01/2019 - 12/31/2019
-
BRCA AnalysisEffective 01/01/2020 - 06/30/2020
-
BRCA Ashkenazi Jewish Founder Mutation TestingEffective 01/01/2020 - 06/30/2020
-
BRCA Ashkenazi Jewish Founder Mutation TestingEffective 07/01/2019 - 12/31/2019
-
Breast Cancer Index for Breast Cancer PrognosisEffective 07/01/2019 - 12/31/2019
-
Breast Cancer Index for Breast Cancer PrognosisEffective 01/01/2020 - 06/30/2020
-
Brugada Syndrome Genetic TestingEffective 07/01/2019 - 12/31/2019
-
Brugada Syndrome Genetic TestingEffective 01/01/2020 - 06/30/2020
-
CADASIL TestingEffective 07/01/2019 - 12/31/2019
-
CADASIL TestingEffective 01/01/2020 - 06/30/2020
-
Canavan Disease TestingEffective 07/01/2019 - 12/31/2019
-
Canavan Disease TestingEffective 01/01/2020 - 06/30/2020
-
Celiac Disease TestingEffective 07/01/2019 - 12/31/2019
-
Celiac Disease TestingEffective 01/01/2020 - 06/30/2020
-
Charcot-Marie-Tooth Neuropathy TestingEffective 07/01/2019 - 12/31/2019
-
Charcot-Marie-Tooth Neuropathy TestingEffective 01/01/2020 - 06/30/2020
-
Chromosomal Microarray for Prenatal DiagnosisEffective 07/01/2019 - 12/31/2019
-
Chromosomal Microarray for Prenatal DiagnosisEffective 01/01/2020 - 06/30/2020
-
Chromosomal Microarray Testing For Developmental DisordersEffective 01/01/2020 - 06/30/2020
-
Chromosomal Microarray Testing For Developmental DisordersEffective 07/01/2019 - 12/31/2019
-
Chromosome Analysis for Blood, Bone Marrow, and Solid Tumor CancersEffective 01/01/2020 - 06/30/2020
-
Chromosome Analysis for Blood, Bone Marrow, and Solid Tumor CancersEffective 07/01/2019 - 12/31/2019
-
Chromosome Analysis for Reproductive Disorders, Prenatal Testing, and Developmental DisordersEffective 07/01/2019 - 12/31/2019
-
Chromosome Analysis for Reproductive Disorders, Prenatal Testing, and Developmental DisordersEffective 01/01/2020 - 06/30/2020
-
Confirmatory Genetic TestingEffective 07/01/2019 - 12/31/2019
-
Confirmatory Genetic TestingEffective 01/01/2020 - 06/30/2020
-
ConfirmMDx for Prostate Cancer Risk AssessmentEffective 07/01/2019 - 12/31/2019
-
ConfirmMDx for Prostate Cancer Risk AssessmentEffective 01/01/2020 - 06/30/2020
-
Corus CAD for Obstructive CoronaryEffective 01/01/2020 - 06/30/2020
-
Corus CAD for Obstructive CoronaryEffective 07/01/2019 - 12/31/2019
-
CXBladderEffective 07/01/2019 - 12/31/2019
-
CXBladderEffective 01/01/2020 - 06/30/2020
-
CYP2C19 Variant Analysis for Clopidogrel ResponseEffective 07/01/2019 - 12/31/2019
-
CYP2C9 VKORC1 CYP4F2 Testing for Warfarin ResponseEffective 07/01/2019 - 12/31/2019
-
CYP2C9 VKORC1 CYP4F2 Testing for Warfarin ResponseEffective 01/01/2020 - 06/30/2020
-
CYP2D6 Variant Analysis - Tamoxifen, Tetrabenazine, or EliglustatEffective 01/01/2020 - 06/30/2020
-
CYP2D6 Variant Analysis - Tamoxifen, Tetrabenazine, or EliglustatEffective 07/01/2019 - 12/31/2019
-
Cystic Fibrosis TestingEffective 01/01/2020 - 06/30/2020
-
Cystic Fibrosis TestingEffective 07/01/2019 - 12/31/2019
-
Decipher Prostate Cancer ClassifierEffective 01/01/2020 - 06/30/2020
-
Decipher Prostate Cancer ClassifierEffective 07/01/2019 - 12/31/2019
-
DecisionDx Uveal MelanomaEffective 01/01/2020 - 06/30/2020
-
DecisionDx Uveal MelanomaEffective 07/01/2019 - 12/31/2019
-
Dentatorubral Pallidoluysian Atrophy TestingEffective 07/01/2019 - 12/31/2019
-
Dentatorubral Pallidoluysian Atrophy TestingEffective 01/01/2020 - 06/30/2020
-
DermTech Pigmented Lesion AssayEffective 01/01/2020 - 06/30/2020
-
DermTech Pigmented Lesion AssayEffective 07/01/2019 - 12/31/2019
-
DPYD Variant Analysis for 5FU ToxicityEffective 07/01/2019 - 12/31/2019
-
DPYD Variant Analysis for 5FU ToxicityEffective 01/01/2020 - 06/30/2020
-
Duchenne and Becker Muscular Dystrophy TestingEffective 01/01/2020 - 06/30/2020
-
Duchenne and Becker Muscular Dystrophy TestingEffective 07/01/2019 - 12/31/2019
-
Early Onset Familial Alzheimer Disease (EOFAD) Genetic TestingEffective 07/01/2019 - 12/31/2019
-
Early Onset Familial Alzheimer Disease (EOFAD) Genetic TestingEffective 01/01/2020 - 06/30/2020
-
EGFR Testing for Non Small Cell Lung Cancer TKI ResponseEffective 01/01/2020 - 06/30/2020
-
EGFR Testing for Non Small Cell Lung Cancer TKI ResponseEffective 07/01/2019 - 12/31/2019
-
Ehlers Danlos Syndrome TestingEffective 01/01/2020 - 06/30/2020
-
Ehlers Danlos Syndrome TestingEffective 07/01/2019 - 12/31/2019
-
EndoPredict for Breast Cancer PrognosisEffective 01/01/2020 - 06/30/2020
-
EndoPredict for Breast Cancer PrognosisEffective 07/01/2019 - 12/31/2019
-
Expanded Carrier Screening PanelsEffective 01/01/2020 - 06/30/2020
-
Expanded Carrier Screening PanelsEffective 07/01/2019 - 12/31/2019
-
Factor II Prothrombin Testing for ThrombophiliaEffective 07/01/2019 - 12/31/2019
-
Factor II Prothrombin Testing for ThrombophiliaEffective 01/01/2020 - 06/30/2020
-
Factor V Leiden Testing for ThrombophiliaEffective 07/01/2019 - 12/31/2019
-
Factor V Leiden Testing for ThrombophiliaEffective 01/01/2020 - 06/30/2020
-
Familial Adenomatous Polyposis TestingEffective 01/01/2020 - 06/30/2020
-
Familial Adenomatous Polyposis TestingEffective 07/01/2019 - 12/31/2019
-
Familial Hypercholesterolemia Genetic TestingEffective 01/01/2020 - 06/30/2020
-
Familial Hypercholesterolemia Genetic TestingEffective 07/01/2019 - 12/31/2019
-
Familial Malignant Melanoma TestingEffective 07/01/2019 - 12/31/2019
-
Familial Malignant Melanoma TestingEffective 01/01/2020 - 06/30/2020
-
Flow CytometryEffective 07/01/2019 - 12/31/2019
-
Flow CytometryEffective 01/01/2020 - 06/30/2020
-
FoundationOne CDxEffective 07/01/2019 - 12/31/2019
-
FoundationOne CDxEffective 01/01/2020 - 06/30/2020
-
Fragile X Associated Tremor Ataxia Syndrome TestingEffective 07/01/2019 - 12/31/2019
-
Fragile X Syndrome TestingEffective 01/01/2020 - 06/30/2020
-
Fragile X Syndrome TestingEffective 07/01/2019 - 12/31/2019
-
Friedreich Ataxia Genetic TestingEffective 01/01/2020 - 06/30/2020
-
Gaucher Disease TestingEffective 07/01/2019 - 12/31/2019
-
Gaucher Disease TestingEffective 01/01/2020 - 06/30/2020
-
Genetic Presymptomatic and Predictive Testing for Adult Onset Conditions in MinorsEffective 01/01/2020 - 06/30/2020
-
Genetic Presymptomatic and Predictive Testing for Adult Onset Conditions in MinorsEffective 07/01/2019 - 12/31/2019
-
Genetic Testing by Multigene PanelsEffective 07/01/2019 - 12/31/2019
-
Genetic Testing by Multigene PanelsEffective 01/01/2020 - 06/30/2020
-
Genetic Testing for Arrhythmogenic Right Ventricular CardiomyopathyEffective 07/01/2019 - 12/31/2019
-
Genetic Testing for Arrhythmogenic Right Ventricular CardiomyopathyEffective 01/01/2020 - 06/30/2020
-
Genetic Testing for AutismEffective 01/01/2020 - 06/30/2020
-
Genetic Testing for AutismEffective 07/01/2019 - 12/31/2019
-
Genetic Testing for Cancer Susceptibility and Hereditary Cancer SyndromesEffective 07/01/2019 - 12/31/2019
-
Genetic Testing for Cancer Susceptibility and Hereditary Cancer SyndromesEffective 01/01/2020 - 06/30/2020
-
Genetic Testing for Carrier StatusEffective 07/01/2019 - 12/31/2019
-
Genetic Testing for Carrier StatusEffective 01/01/2020 - 06/30/2020
-
Genetic Testing for Dilated CardiomyopathyEffective 07/01/2019 - 12/31/2019
-
Genetic Testing for Dilated CardiomyopathyEffective 01/01/2020 - 06/30/2020
-
Genetic Testing for EpilepsyEffective 01/01/2020 - 06/30/2020
-
Genetic Testing for EpilepsyEffective 07/01/2019 - 12/31/2019
-
Genetic Testing for Facioscapulohumeral Muscular DystrophyEffective 01/01/2020 - 06/30/2020
-
Genetic Testing for Facioscapulohumeral Muscular DystrophyEffective 07/01/2019 - 12/31/2019
-
Genetic Testing for Hereditary PancreatitisEffective 07/01/2019 - 12/31/2019
-
Genetic Testing for Hereditary PancreatitisEffective 01/01/2020 - 06/30/2020
-
Genetic Testing for Known Familial MutationsEffective 07/01/2019 - 12/31/2019
-
Genetic Testing for Known Familial MutationsEffective 01/01/2020 - 06/30/2020
-
Genetic Testing for Limb Girdle Muscular DystrophyEffective 07/01/2019 - 12/31/2019
-
Genetic Testing for Limb Girdle Muscular DystrophyEffective 01/01/2020 - 06/30/2020
-
Genetic Testing for Non Medical PurposesEffective 07/01/2019 - 12/31/2019
-
Genetic Testing for Non Medical PurposesEffective 01/01/2020 - 06/30/2020
-
Genetic Testing for Nonsyndromic Hearing Loss and DeafnessEffective 01/01/2020 - 06/30/2020
-
Genetic Testing for Nonsyndromic Hearing Loss and DeafnessEffective 07/01/2019 - 12/31/2019
-
Genetic Testing for Prenatal Screening and Diagnostic TestingEffective 01/01/2020 - 06/30/2020
-
Genetic Testing for Prenatal Screening and Diagnostic TestingEffective 07/01/2019 - 12/31/2019
-
Genetic Testing for the Screening Diagnosis and Monitoring of CancerEffective 07/01/2019 - 12/31/2019
-
Genetic Testing for the Screening Diagnosis and Monitoring of CancerEffective 01/01/2020 - 06/30/2020
-
Genetic Testing for Variants of Uncertain Clinical SignificanceEffective 01/01/2020 - 06/30/2020
-
Genetic Testing for Variants of Uncertain Clinical SignificanceEffective 07/01/2019 - 12/31/2019
-
Genetic Testing to Diagnose Non-Cancer ConditionsEffective 07/01/2019 - 12/31/2019
-
Genetic Testing to Diagnose Non-Cancer ConditionsEffective 01/01/2020 - 06/30/2020
-
Genetic Testing to Predict Disease RiskEffective 01/01/2020 - 06/30/2020
-
Genetic Testing to Predict Disease RiskEffective 07/01/2019 - 12/31/2019
-
Genitourinary Conditions Molecular TestingEffective 01/01/2020 - 06/30/2020
-
Genitourinary Conditions Molecular TestingEffective 07/01/2019 - 12/31/2019
-
Hemoglobinopathies Genetic TestingEffective 01/01/2020 - 06/30/2020
-
Hereditary Ataxia Multigene Panel TestingEffective 01/01/2020 - 06/30/2020
-
Hereditary Cancer Syndrome Multigene PanelsEffective 01/01/2020 - 06/30/2020
-
Hereditary Cancer Syndrome Multigene PanelsEffective 07/01/2019 - 12/31/2019
-
Hereditary Connective Tissue Disorder TestingEffective 07/01/2019 - 12/31/2019
-
Hereditary Connective Tissue Disorder TestingEffective 01/01/2020 - 06/30/2020
-
Hereditary Germline Testing After Tumor Somatic TestingEffective 07/01/2019 - 12/31/2019
-
Hereditary Germline Testing After Tumor Somatic TestingEffective 01/01/2020 - 06/30/2020
-
Hereditary Hemochromatosis TestingEffective 01/01/2020 - 06/30/2020
-
Hereditary Hemochromatosis TestingEffective 07/01/2019 - 12/31/2019
-
HIV Genotype and Phenotype TestingEffective 07/01/2019 - 12/31/2019
-
HIV Genotype and Phenotype TestingEffective 01/01/2020 - 06/30/2020
-
HIV Tropism Testing for Maraviroc ResponseEffective 07/01/2019 - 12/31/2019
-
HIV Tropism Testing for Maraviroc ResponseEffective 01/01/2020 - 06/30/2020
-
HLA B1502 Variant Analysis for Carbamazepine ResponseEffective 07/01/2019 - 12/31/2019
-
HLA B1502 Variant Analysis for Carbamazepine ResponseEffective 01/01/2020 - 06/30/2020
-
HLA B5701 Genotyping for Abacavir HypersensitivityEffective 07/01/2019 - 12/31/2019
-
HLA B5701 Genotyping for Abacavir HypersensitivityEffective 01/01/2020 - 06/30/2020
-
Huntington DiseaseEffective 01/01/2020 - 06/30/2020
-
Huntington DiseaseEffective 07/01/2019 - 12/31/2019
-
Hypertrophic Cardiomyopathy TestingEffective 01/01/2020 - 06/30/2020
-
Hypertrophic Cardiomyopathy TestingEffective 07/01/2019 - 12/31/2019
-
Immunohistochemistry (IHC)Effective 07/01/2019 - 12/31/2019
-
Immunohistochemistry (IHC)Effective 01/01/2020 - 06/30/2020
-
Information Requirements for Medical Necessity ReviewEffective 07/01/2019 - 12/31/2019
-
Information Requirements for Medical Necessity ReviewEffective 01/01/2020 - 06/30/2020
-
Investigational and Experimental Molecular and Genomic TestingEffective 07/01/2019 - 12/31/2019
-
Investigational and Experimental Molecular and Genomic TestingEffective 01/01/2020 - 06/30/2020
-
KRAS Testing for Anti-EGFR Response in Metastatic Colorectal CancerEffective 01/01/2020 - 06/30/2020
-
KRAS Testing for Anti-EGFR Response in Metastatic Colorectal CancerEffective 07/01/2019 - 12/31/2019
-
Laboratory Claim ReimbursementEffective 07/01/2019 - 12/31/2019
-
Laboratory Claim ReimbursementEffective 01/01/2020 - 06/30/2020
-
Leber Hereditary Optic Neuropathy (LHON) Genetic TestingEffective 01/01/2020 - 06/30/2020
-
Leber Hereditary Optic Neuropathy (LHON) Genetic TestingEffective 07/01/2019 - 12/31/2019
-
Legius Syndrome Genetic TestingEffective 07/01/2019 - 12/31/2019
-
Legius Syndrome Genetic TestingEffective 01/01/2020 - 06/30/2020
-
Li Fraumeni SyndromeEffective 01/01/2020 - 06/30/2020
-
Li Fraumeni SyndromeEffective 07/01/2019 - 12/31/2019
-
Liquid Biopsy Testing Solid TumorsEffective 07/01/2019 - 12/31/2019
-
Liquid Biopsy Testing Solid TumorsEffective 01/01/2020 - 06/30/2020
-
Long QT Syndrome TestingEffective 01/01/2020 - 06/30/2020
-
Long QT Syndrome TestingEffective 07/01/2019 - 12/31/2019
-
Lynch Syndrome Genetic TestingEffective 07/01/2019 - 12/31/2019
-
Lynch Syndrome Genetic TestingEffective 01/01/2020 - 06/30/2020
-
Lynch Syndrome Tumor Screening First TierEffective 07/01/2019 - 12/31/2019
-
Lynch Syndrome Tumor Screening First TierEffective 01/01/2020 - 06/30/2020
-
Lynch Syndrome Tumor Screening Second TierEffective 07/01/2019 - 12/31/2019
-
Lynch Syndrome Tumor Screening Second TierEffective 01/01/2020 - 06/30/2020
-
Macula RiskEffective 07/01/2019 - 12/31/2019
-
Macula RiskEffective 01/01/2020 - 06/30/2020
-
Mammaprint 70 Gene Breast Cancer Recurrence AssayEffective 01/01/2020 - 06/30/2020
-
Mammaprint 70 Gene Breast Cancer Recurrence AssayEffective 07/01/2019 - 12/31/2019
-
Mammostrat Breast Cancer Recurrence AssayEffective 07/01/2019 - 12/31/2019
-
Mammostrat Breast Cancer Recurrence AssayEffective 01/01/2020 - 06/30/2020
-
Marfan Syndrome Genetic TestingEffective 07/01/2019 - 12/31/2019
-
Marfan Syndrome Genetic TestingEffective 01/01/2020 - 06/30/2020
-
Maturity Onset Diabetes of the Young MODY TestingEffective 01/01/2020 - 06/30/2020
-
Maturity Onset Diabetes of the Young MODY TestingEffective 07/01/2019 - 12/31/2019
-
MGMT Testing for Malignant Glioma Alkylating Agent ResponseEffective 07/01/2019 - 12/31/2019
-
MGMT Testing for Malignant Glioma Alkylating Agent ResponseEffective 01/01/2020 - 06/30/2020
-
Mitochondrial DNA Deletion SyndromesEffective 01/01/2020 - 06/30/2020
-
Mitochondrial DNA Deletion SyndromesEffective 07/01/2019 - 12/31/2019
-
Mitochondrial Encephalomyopathy Lactic Acidosis and Strokelike Episodes MELAS Genetic TestingEffective 01/01/2020 - 06/30/2020
-
Mitochondrial Encephalomyopathy Lactic Acidosis and Strokelike Episodes MELAS Genetic TestingEffective 07/01/2019 - 12/31/2019
-
Mitochondrial Genetic TestingEffective 01/01/2020 - 06/30/2020
-
Mitochondrial Genetic TestingEffective 07/01/2019 - 12/31/2019
-
Mitochondrial Neurogastrointestinal Encephalopathy MNGIEEffective 07/01/2019 - 12/31/2019
-
Mitochondrial Neurogastrointestinal Encephalopathy MNGIEEffective 01/01/2020 - 06/30/2020
-
Molecular Gastrointestinal Pathogen Panel GIPP TestingEffective 01/01/2020 - 06/30/2020
-
Molecular Gastrointestinal Pathogen Panel GIPP TestingEffective 07/01/2019 - 12/31/2019
-
Molecular Pathology Tier 2 Molecular CPT CodesEffective 07/01/2019 - 12/31/2019
-
Molecular Pathology Tier 2 Molecular CPT CodesEffective 01/01/2020 - 06/30/2020
-
Molecular Respiratory Infection Pathogen Panel RIPP TestingEffective 07/01/2019 - 12/31/2019
-
Molecular Respiratory Infection Pathogen Panel RIPP TestingEffective 01/01/2020 - 06/30/2020
-
MTHFR Variant Analysis for HyperhomocysteinemiaEffective 01/01/2020 - 06/30/2020
-
MTHFR Variant Analysis for HyperhomocysteinemiaEffective 07/01/2019 - 12/31/2019
-
Multiple Endocrine Neoplasia Type 1 MEN1Effective 07/01/2019 - 12/31/2019
-
Multiple Endocrine Neoplasia Type 1 MEN1Effective 01/01/2020 - 06/30/2020
-
Multiple Endocrine Neoplasia Type 2 MEN2Effective 07/01/2019 - 12/31/2019
-
Multiple Endocrine Neoplasia Type 2 MEN2Effective 01/01/2020 - 06/30/2020
-
MUTYH Associated Polyposis TestingEffective 07/01/2019 - 12/31/2019
-
MUTYH Associated Polyposis TestingEffective 01/01/2020 - 06/30/2020
-
Myeloma Prognostic Risk Signature MyPRSEffective 07/01/2019 - 12/31/2019
-
Myeloma Prognostic Risk Signature MyPRSEffective 01/01/2020 - 06/30/2020
-
Myoclonic Epilepsy with Ragged Red Fibers MERRFEffective 01/01/2020 - 06/30/2020
-
Myoclonic Epilepsy with Ragged Red Fibers MERRFEffective 07/01/2019 - 12/31/2019
-
Myotonic Dystrophy Type 1 Genetic TestingEffective 01/01/2020 - 06/30/2020
-
NETestEffective 01/01/2020 - 06/30/2020
-
NETestEffective 07/01/2019 - 12/31/2019
-
Neurofibromatosis Type 1 Genetic TestingEffective 01/01/2020 - 06/30/2020
-
Neurofibromatosis Type 1 Genetic TestingEffective 01/01/2019 - 12/31/2019
-
Neurogenic Muscle Weakness Ataxia and Retinitis Pigmentosa NARPEffective 01/01/2020 - 06/30/2020
-
Neurogenic Muscle Weakness Ataxia and Retinitis Pigmentosa NARPEffective 07/01/2019 - 12/31/2019
-
Niemann Pick Disease Types A and B TestingEffective 07/01/2019 - 12/31/2019
-
Niemann Pick Disease Types A and B TestingEffective 01/01/2020 - 06/30/2020
-
Niemann Pick Type C TestingEffective 07/01/2019 - 12/31/2019
-
Niemann Pick Type C TestingEffective 01/01/2020 - 06/30/2020
-
Non Invasive Prenatal ScreeningEffective 01/01/2020 - 06/30/2020
-
Non Invasive Prenatal ScreeningEffective 07/01/2019 - 12/31/2019
-
Oncotype DX Breast DCISEffective 07/01/2019 - 12/31/2019
-
Oncotype DX Breast DCISEffective 01/01/2020 - 06/30/2020
-
Oncotype DX for Breast Cancer PrognosisEffective 07/01/2019 - 12/31/2019
-
Oncotype DX for Breast Cancer PrognosisEffective 01/01/2020 - 06/30/2020
-
Oncotype DX for Colorectal Cancer Recurrence RiskEffective 01/01/2020 - 06/30/2020
-
Oncotype DX for Colorectal Cancer Recurrence RiskEffective 07/01/2019 - 12/31/2019
-
Oncotype DX for Prostate CancerEffective 07/01/2019 - 12/31/2019
-
Oncotype DX for Prostate CancerEffective 01/01/2020 - 06/30/2020
-
PALB2 Genetic Testing for Breast Cancer RiskEffective 07/01/2019 - 12/31/2019
-
PALB2 Genetic Testing for Breast Cancer RiskEffective 01/01/2020 - 06/30/2020
-
PancraGENEffective 01/01/2020 - 06/30/2020
-
PancraGENEffective 07/01/2019 - 12/31/2019
-
PCA3 Testing for Prostate CancerEffective 01/01/2020 - 06/30/2020
-
PCA3 Testing for Prostate CancerEffective 07/01/2019 - 12/31/2019
-
Peutz Jeghers Syndrome TestingEffective 07/01/2019 - 12/31/2019
-
Peutz Jeghers Syndrome TestingEffective 01/01/2020 - 06/30/2020
-
Pharmacogenomic Testing for Drug Toxicity and ResponseEffective 01/01/2020 - 06/30/2020
-
Pharmacogenomic Testing for Drug Toxicity and ResponseEffective 07/01/2019 - 12/31/2019
-
Pharmacogenomic Testing Panels for Major Depressive DisorderEffective 07/01/2019 - 12/31/2019
-
Pharmacogenomic Testing Panels for Major Depressive DisorderEffective 01/01/2020 - 06/30/2020
-
Polymerase Gamma POLG Related Disorders Genetic TestingEffective 01/01/2020 - 06/30/2020
-
Polymerase Gamma POLG Related Disorders Genetic TestingEffective 08/01/2019 - 12/31/2019
-
Prader Willi Syndrome TestingEffective 07/01/2019 - 12/31/2019
-
Prader Willi Syndrome TestingEffective 01/01/2020 - 06/30/2020
-
Preimplantation Genetic Screening and DiagnosisEffective 07/01/2019 - 12/31/2019
-
Preimplantation Genetic Screening and DiagnosisEffective 01/01/2020 - 06/30/2020
-
Prenatal Aneuploidy FISH TestingEffective 07/01/2019 - 12/31/2019
-
Prenatal Aneuploidy FISH TestingEffective 01/01/2020 - 06/30/2020
-
Prenatal Maternal Serum ScreeningEffective 07/01/2019 - 12/31/2019
-
Prenatal Maternal Serum ScreeningEffective 01/01/2020 - 06/30/2020
-
ProlarisEffective 07/01/2019 - 12/31/2019
-
ProlarisEffective 01/01/2020 - 06/30/2020
-
ProMark Proteomic Prognostic TestEffective 07/01/2019 - 12/31/2019
-
ProMark Proteomic Prognostic TestEffective 01/01/2020 - 06/30/2020
-
Prosigna Breast Cancer Prognostic Gene Signature AssayEffective 07/01/2019 - 12/31/2019
-
Prosigna Breast Cancer Prognostic Gene Signature AssayEffective 01/01/2020 - 06/30/2020
-
PTEN Hamartoma Tumor Syndrome TestingEffective 01/01/2020 - 06/30/2020
-
PTEN Hamartoma Tumor Syndrome TestingEffective 07/01/2019 - 12/31/2019
-
Rett Syndrome TestingEffective 07/01/2019 - 12/31/2019
-
Rett Syndrome TestingEffective 01/01/2020 - 06/30/2020
-
RosettaGX RevealEffective 01/01/2020 - 06/30/2020
-
RosettaGX RevealEffective 07/01/2019 - 12/31/2019
-
SelectMDxEffective 01/01/2020 - 06/30/2020
-
SelectMDxEffective 07/01/2019 - 12/31/2019
-
SensiGene Fetal RHD GenotypingEffective 07/01/2019 - 12/31/2019
-
SensiGene Fetal RHD GenotypingEffective 01/01/2020 - 06/30/2020
-
Sept9 Methylation Analysis for Colorectal CancerEffective 01/01/2020 - 06/30/2020
-
Sept9 Methylation Analysis for Colorectal CancerEffective 07/01/2019 - 12/31/2019
-
Somatic Mutation Testing - Hematological MalignanciesEffective 01/01/2020 - 06/30/2020
-
Somatic Mutation Testing - Solid TumorsEffective 07/01/2019 - 12/31/2019
-
Somatic Mutation Testing - Solid TumorsEffective 01/01/2020 - 06/30/2020
-
Spinal Muscular Atrophy TestingEffective 01/01/2020 - 06/30/2020
-
Spinal Muscular Atrophy TestingEffective 07/01/2019 - 12/31/2019
-
Spinocerebellar Ataxia Genetic TestingEffective 01/01/2020 - 06/30/2020
-
Tay Sachs Disease TestingEffective 07/01/2019 - 12/31/2019
-
Tay Sachs Disease TestingEffective 01/01/2020 - 06/30/2020
-
Thoracic Aortic Aneurysms and Dissections TAAD Panel TestingEffective 07/01/2019 - 12/31/2019
-
Thoracic Aortic Aneurysms and Dissections TAAD Panel TestingEffective 01/01/2020 - 06/30/2020
-
ThyGeNEXT and ThyraMIR miRNA Gene Expression ClassifierEffective 01/01/2020 - 06/30/2020
-
ThyGeNEXT and ThyraMIR miRNA Gene Expression ClassifierEffective 07/01/2019 - 12/31/2019
-
ThyroSeqEffective 07/01/2019 - 12/31/2019
-
ThyroSeqEffective 01/01/2020 - 06/30/2020
-
Tissue of Origin Testing for Cancer of Unknown PrimaryEffective 07/01/2019 - 12/31/2019
-
Tissue of Origin Testing for Cancer of Unknown PrimaryEffective 01/01/2020 - 06/30/2020
-
TPMT Testing for Thiopurine Drug ResponseEffective 01/01/2020 - 06/30/2020
-
TPMT Testing for Thiopurine Drug ResponseEffective 07/01/2019 - 12/31/2019
-
UGT1A1 Mutation Analysis for Irinotecan ResponseEffective 01/01/2020 - 06/30/2020
-
UGT1A1 Mutation Analysis for Irinotecan ResponseEffective 07/01/2019 - 12/31/2019
-
Unique Test Identifiers for Non Specific Procedure CodesEffective 07/01/2019 - 12/31/2019
-
Unique Test Identifiers for Non Specific Procedure CodesEffective 01/01/2020 - 06/30/2020
-
UroVysion FISH for Bladder CancerEffective 07/01/2019 - 12/31/2019
-
UroVysion FISH for Bladder CancerEffective 01/01/2020 - 06/30/2020
-
Von Hippel Lindau Disease TestingEffective 01/01/2020 - 06/30/2020
-
Von Hippel Lindau Disease TestingEffective 07/01/2019 - 12/31/2019
-
Whole Exome SequencingEffective 07/01/2019 - 12/31/2019
-
Whole Exome SequencingEffective 01/01/2020 - 06/30/2020
-
Whole Genome SequencingEffective 01/01/2020 - 06/30/2020
-
Date of Service and Effective Date of the Authorization PeriodEffective 07/01/2020 - 12/31/2020
-
Date of Service and Effective Date of the Authorization PeriodEffective 01/01/2021 - 06/30/2021
-
Information Requirements for Medical Necessity ReviewEffective 07/01/2020 - 12/31/2020
-
Medical Necessity Review Information RequirementsEffective 01/01/2021 - 06/30/2021
-
MOL.AD.102.A: Molecular Pathology Tier 2 Molecular CPT CodesEffective 01/01/2022 - 06/30/2022
-
MOL.AD.102.A: Molecular Pathology Tier 2 Molecular CPT CodesEffective 07/01/2021 - 12/31/2021
-
MOL.AD.102.A: Molecular Pathology Tier 2 Molecular CPT CodesEffective 07/01/2022 - 12/31/2022
-
MOL.AD.107.A: Unique Test Identifiers for Non Specific Procedure CodesEffective 01/01/2022 - 06/30/2022
-
MOL.AD.107.A: Unique Test Identifiers for Non Specific Procedure CodesEffective 07/01/2022 - 12/31/2022
-
MOL.AD.107.A: Unique Test Identifiers for Non Specific Procedure CodesEffective 07/01/2021 - 12/31/2021
-
MOL.AD.107.A: Unique Test Identifiers for Non Specific Procedure CodesEffective 01/01/2023 - 06/30/2023
-
MOL.AD.107.A: Unique Test Identifiers for Non Specific Procedure CodesEffective 07/01/2023 - 12/31/2023
-
MOL.AD.107.A: Unique Test Identifiers for Non-Specific Procedure CodesEffective 01/01/2024 - 06/30/2024
-
MOL.AD.304.A: Medical Necessity Review Information RequirementsEffective 01/01/2024 - 06/30/2024
-
MOL.AD.304.A: Medical Necessity Review Information RequirementsEffective 07/01/2021 - 12/31/2021
-
MOL.AD.304.A: Medical Necessity Review Information RequirementsEffective 01/01/2023 - 06/30/2023
-
MOL.AD.304.A: Medical Necessity Review Information RequirementsEffective 07/01/2023 - 12/31/2023
-
MOL.AD.304.A: Medical Necessity Review Information RequirementsEffective 01/01/2022 - 06/30/2022
-
MOL.AD.314.A: Date of Service and Authorization Period Effective DateEffective 01/01/2022 - 06/30/2022
-
MOL.AD.314.A: Date of Service and Authorization Period Effective DateEffective 07/01/2022 - 12/31/2022
-
MOL.AD.314.A: Date of Service and Authorization Period Effective DateEffective 07/01/2023 - 12/31/2023
-
MOL.AD.314.A: Date of Service and Authorization Period Effective DateEffective 07/01/2021 - 12/31/2021
-
MOL.AD.314.A: Date of Service and Authorization Period Effective DateEffective 01/01/2023 - 06/30/2023
-
MOL.AD.314.A: Date of Service and Authorization Period Effective DateEffective 01/01/2024 - 06/30/2024
-
MOL.AD.364.A: Special Circumstances Influencing Coverage DeterminationsEffective 07/01/2023 - 12/31/2023
-
MOL.AD.364.A: Special Circumstances Influencing Coverage DeterminationsEffective 01/01/2024 - 06/30/2024
-
MOL.AD.364.A: Special Circumstances Influencing Coverage DeterminationsEffective 01/01/2022 - 06/30/2022
-
MOL.AD.364.A: Special Circumstances Influencing Coverage DeterminationsEffective 07/01/2022 - 12/31/2022
-
MOL.AD.364.A: Special Circumstances Influencing Coverage DeterminationsEffective 07/01/2021 - 12/31/2021
-
MOL.AD.364.A: Special Circumstances Influencing Coverage DeterminationsEffective 01/01/2023 - 06/30/2023
-
MOL.AD.391.A: Laboratory Procedure Code RequirementsEffective 01/01/2023 - 06/01/2023
-
MOL.AD.391.A: Laboratory Procedure Code RequirementsEffective 01/01/2024 - 06/30/2024
-
MOL.AD.391.A: Laboratory Procedure Code RequirementsEffective 07/01/2023 - 12/31/2023
-
Molecular Pathology Tier 2 Molecular CPT CodesEffective 07/01/2020 - 12/31/2020
-
Molecular Pathology Tier 2 Molecular CPT CodesEffective 01/01/2021 - 06/30/2021
-
Unique Test Identifiers for Non-Specific Procedure CodesEffective 07/01/2020 - 12/31/2020
-
Unique Test Identifiers for Non-Specific Procedure CodesEffective 01/01/2021 - 06/30/2021
-
Confirmatory Genetic TestingEffective 07/01/2020 - 12/31/2020
-
Confirmatory Genetic TestingEffective 01/01/2021 - 06/30/2021
-
Genetic Presymptomatic and Predictive Testing for Adult-Onset Conditions in MinorsEffective 01/01/2021 - 06/30/2021
-
Genetic Presymptomatic and Predictive Testing for Adult-Onset Conditions in MinorsEffective 07/01/2020 - 12/31/2020
-
Genetic Testing by Multigene PanelsEffective 01/01/2021 - 06/30/2021
-
Genetic Testing by Multigene PanelsEffective 07/01/2020 - 12/31/2020
-
Genetic Testing for Cancer Susceptibility and Hereditary Cancer SyndromesEffective 01/01/2021 - 06/30/2021
-
Genetic Testing for Cancer Susceptibility and Hereditary Cancer SyndromesEffective 07/01/2020 - 12/31/2020
-
Genetic Testing for Carrier StatusEffective 01/01/2021 - 06/30/2021
-
Genetic Testing for Carrier StatusEffective 07/01/2020 - 12/31/2020
-
Genetic Testing for Known Familial MutationsEffective 01/01/2021 - 06/30/2021
-
Genetic Testing for Known Familial MutationsEffective 07/01/2020 - 12/31/2020
-
Genetic Testing for Non-Medical PurposesEffective 07/01/2020 - 12/31/2020
-
Genetic Testing for Non-Medical PurposesEffective 01/01/2021 - 06/30/2021
-
Genetic Testing for Prenatal Screening and Diagnostic TestingEffective 07/01/2020 - 12/31/2020
-
Genetic Testing for Prenatal Screening and Diagnostic TestingEffective 01/01/2021 - 06/30/2021
-
Genetic Testing for the Screening, Diagnosis, and Monitoring of CancerEffective 01/01/2021 - 06/30/2021
-
Genetic Testing for Variants of Uncertain Clinical SignificanceEffective 01/01/2021 - 06/30/2021
-
Genetic Testing for Variants of Uncertain Clinical SignificanceEffective 07/01/2020 - 12/31/2020
-
Genetic Testing to Diagnose Non-Cancer ConditionsEffective 01/01/2021 - 06/30/2021
-
Genetic Testing to Diagnose Non-Cancer ConditionsEffective 07/01/2020 - 12/31/2020
-
Genetic Testing to Predict Disease RiskEffective 07/01/2020 - 12/31/2020
-
Genetic Testing to Predict Disease RiskEffective 01/01/2021 - 06/30/2021
-
Hereditary (Germline) Testing After Tumor (Somatic) TestingEffective 07/01/2020 - 12/31/2020
-
Hereditary (Germline) Testing After Tumor (Somatic) TestingEffective 01/01/2021 - 06/30/2021
-
Investigational and Experimental Molecular and Genomic TestingEffective 01/01/2021 - 06/30/2021
-
Investigational and Experimental Molecular and Genomic TestingEffective 10/01/2020 - 12/31/2020
-
Investigational and Experimental Molecular and Genomic TestingEffective 07/01/2020 - 09/30/2020
-
MOL.CS.333.A: Medically Necessary Laboratory TestingEffective 07/01/2022 - 12/31/2022
-
MOL.CS.333.A: Medically Necessary Laboratory TestingEffective 01/01/2023 - 06/30/2023
-
MOL.CS.333.A: Medically Necessary Laboratory TestingEffective 01/01/2022 - 06/30/2022
-
MOL.CU.109.A: Genetic Testing for Cancer Susceptibility and Hereditary Cancer SyndromesEffective 07/01/2022 - 12/31/2022
-
MOL.CU.109.A: Genetic Testing for Cancer Susceptibility and Hereditary Cancer SyndromesEffective 01/01/2023 - 06/30/2023
-
MOL.CU.109.A: Genetic Testing for Cancer Susceptibility and Hereditary Cancer SyndromesEffective 01/01/2024 - 06/30/2024
-
MOL.CU.109.A: Genetic Testing for Cancer Susceptibility and Hereditary Cancer SyndromesEffective 01/01/2022 - 06/30/2022
-
MOL.CU.109.A: Genetic Testing for Cancer Susceptibility and Hereditary Cancer SyndromesEffective 07/01/2021 - 12/31/2021
-
MOL.CU.109.A: Genetic Testing for Cancer Susceptibility and Hereditary Cancer SyndromesEffective 07/01/2023 - 12/31/2023
-
MOL.CU.11.3A: Genetic Testing for the Screening, Diagnosis, and Monitoring of CancerEffective 07/01/2021 - 12/31/2021
-
MOL.CU.110.A: Genetic Testing for Carrier StatusEffective 01/01/2022 - 06/30/2022
-
MOL.CU.110.A: Genetic Testing for Carrier StatusEffective 01/01/2024 - 06/30/2024
-
MOL.CU.110.A: Genetic Testing for Carrier StatusEffective 07/01/2021 - 12/31/2021
-
MOL.CU.110.A: Genetic Testing for Carrier StatusEffective 01/01/2023 - 06/30/2023
-
MOL.CU.110.A: Genetic Testing for Carrier StatusEffective 07/01/2022 - 12/31/2022
-
MOL.CU.110.A: Genetic Testing for Carrier StatusEffective 07/01/2023 - 12/31/2023
-
MOL.CU.111.A: Genetic Testing for Non Medical PurposesEffective 01/01/2022 - 06/30/2022
-
MOL.CU.111.A: Genetic Testing for Non Medical PurposesEffective 07/01/2022 - 12/31/2022
-
MOL.CU.111.A: Genetic Testing for Non Medical PurposesEffective 01/01/2023 - 06/30/2023
-
MOL.CU.111.A: Genetic Testing for Non Medical PurposesEffective 07/01/2021 - 12/31/2021
-
MOL.CU.111.A: Genetic Testing for Non Medical PurposesEffective 07/01/2023 - 12/31/2023
-
MOL.CU.111.A: Genetic Testing for Non-Medical PurposesEffective 01/01/2024 - 06/30/2024
-
MOL.CU.112.A: Genetic Testing for Prenatal Screening and Diagnostic TestingEffective 07/01/2023 - 12/31/2023
-
MOL.CU.112.A: Genetic Testing for Prenatal Screening and Diagnostic TestingEffective 07/01/2021 - 12/31/2021
-
MOL.CU.112.A: Genetic Testing for Prenatal Screening and Diagnostic TestingEffective 07/01/2022 - 12/31/2022
-
MOL.CU.112.A: Genetic Testing for Prenatal Screening and Diagnostic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.CU.112.A: Genetic Testing for Prenatal Screening and Diagnostic TestingEffective 01/01/2022 - 06/30/2022
-
MOL.CU.112.A: Genetic Testing for Prenatal Screening and Diagnostic TestingEffective 01/01/2023 - 06/30/2023
-
MOL.CU.113.A: Genetic Testing for the Screening, Diagnosis, and Monitoring of CancerEffective 07/01/2022 - 12/31/2022
-
MOL.CU.113.A: Genetic Testing for the Screening, Diagnosis, and Monitoring of CancerEffective 01/01/2022 - 06/30/2022
-
MOL.CU.113.A: Genetic Testing for the Screening, Diagnosis, and Monitoring of CancerEffective 01/01/2024 - 06/30/2024
-
MOL.CU.113.A: Genetic Testing for the Screening, Diagnosis, and Monitoring of CancerEffective 01/01/2023 - 06/30/2023
-
MOL.CU.113.A: Genetic Testing for the Screening, Diagnosis, and Monitoring of CancerEffective 07/01/2023 - 12/31/2023
-
MOL.CU.114.A: Genetic Testing to Diagnose Non Cancer ConditionsEffective 07/01/2021 - 12/31/2021
-
MOL.CU.114.A: Genetic Testing to Diagnose Non Cancer ConditionsEffective 01/01/2022 - 06/30/2022
-
MOL.CU.114.A: Genetic Testing to Diagnose Non Cancer ConditionsEffective 07/01/2022 - 12/31/2022
-
MOL.CU.114.A: Genetic Testing to Diagnose Non Cancer ConditionsEffective 01/01/2023 - 06/30/2023
-
MOL.CU.114.A: Genetic Testing to Diagnose Non Cancer ConditionsEffective 07/01/2023 - 12/31/2023
-
MOL.CU.114.A: Genetic Testing to Diagnose Non-Cancer ConditionsEffective 01/01/2024 - 06/30/2024
-
MOL.CU.115.A: Genetic Testing to Predict Disease RiskEffective 07/01/2021 - 12/31/2021
-
MOL.CU.115.A: Genetic Testing to Predict Disease RiskEffective 01/01/2023 - 06/30/2023
-
MOL.CU.115.A: Genetic Testing to Predict Disease RiskEffective 01/01/2024 - 06/30/2024
-
MOL.CU.115.A: Genetic Testing to Predict Disease RiskEffective 07/01/2023 - 12/31/2023
-
MOL.CU.115.A: Genetic Testing to Predict Disease RiskEffective 07/01/2022 - 12/31/2022
-
MOL.CU.115.A: Genetic Testing to Predict Disease RiskEffective 01/01/2022 - 06/30/2022
-
MOL.CU.116.A: Genetic Testing by Multigene PanelsEffective 01/01/2024 - 06/30/2024
-
MOL.CU.116.A: Genetic Testing by Multigene PanelsEffective 01/01/2023 - 06/30/2023
-
MOL.CU.116.A: Genetic Testing by Multigene PanelsEffective 07/01/2021 - 12/31/2021
-
MOL.CU.116.A: Genetic Testing by Multigene PanelsEffective 07/01/2022 - 12/31/2022
-
MOL.CU.116.A: Genetic Testing by Multigene PanelsEffective 01/01/2022 - 06/30/2022
-
MOL.CU.116.A: Genetic Testing by Multigene PanelsEffective 07/01/2023 - 12/31/2023
-
MOL.CU.117.I Investigational and Experimental Laboratory TestingEffective 07/01/2023 - 12/31/2023
-
MOL.CU.117.I: Investigational and Experimental Laboratory TestingEffective 01/01/2024 - 06/30/2024
-
MOL.CU.117.I: Investigational and Experimental Molecular and Genomic TestingEffective 01/01/2022 - 06/30/2022
-
MOL.CU.117.I: Investigational and Experimental Molecular and Genomic TestingEffective 07/01/2022 - 12/31/2022
-
MOL.CU.117.I: Investigational and Experimental Molecular and Genomic TestingEffective 01/01/2023 - 06/30/2023
-
MOL.CU.117.I: Investigational and Experimental Molecular and Genomic TestingEffective 07/01/2021 - 12/31/2021
-
MOL.CU.118.A Pharmacogenomic Testing for Drug Toxicity and ResponseEffective 07/01/2023 - 12/31/2023
-
MOL.CU.118.A: Pharmacogenomic Testing for Drug Toxicity and ResponseEffective 07/01/2021 - 12/31/2021
-
MOL.CU.118.A: Pharmacogenomic Testing for Drug Toxicity and ResponseEffective 01/01/2022 - 06/30/2022
-
MOL.CU.118.A: Pharmacogenomic Testing for Drug Toxicity and ResponseEffective 01/01/2023 - 06/30/2023
-
MOL.CU.118.A: Pharmacogenomic Testing for Drug Toxicity and ResponseEffective 01/01/2024 - 06/30/2024
-
MOL.CU.118.A: Pharmacogenomic Testing for Drug Toxicity and ResponseEffective 07/01/2022 - 12/31/2022
-
MOL.CU.119.A: Preimplantation Genetic Screening and DiagnosisEffective 07/01/2021 - 12/31/2021
-
MOL.CU.119.A: Preimplantation Genetic Screening and DiagnosisEffective 01/01/2022 - 06/30/2022
-
MOL.CU.119.A: Preimplantation Genetic Screening and DiagnosisEffective 01/01/2024 - 06/30/2024
-
MOL.CU.119.A: Preimplantation Genetic Screening and DiagnosisEffective 07/01/2023 - 12/31/2023
-
MOL.CU.119.A: Preimplantation Genetic Screening and DiagnosisEffective 07/01/2022 - 12/31/2022
-
MOL.CU.119.A: Preimplantation Genetic Screening and DiagnosisEffective 01/01/2023 - 06/30/2023
-
MOL.CU.246.A: Hereditary (Germline) Testing After Tumor (Somatic) TestingEffective 01/01/2022 - 06/30/2022
-
MOL.CU.246.A: Hereditary (Germline) Testing After Tumor (Somatic) TestingEffective 01/01/2023 - 06/30/2023
-
MOL.CU.246.A: Hereditary (Germline) Testing After Tumor (Somatic) TestingEffective 07/01/2021 - 12/31/2021
-
MOL.CU.246.A: Hereditary (Germline) Testing After Tumor (Somatic) TestingEffective 07/01/2023 - 12/31/2023
-
MOL.CU.246.A: Hereditary (Germline) Testing After Tumor (Somatic) TestingEffective 01/01/2024 - 06/30/2024
-
MOL.CU.246.A: Hereditary (Germline) Testing After Tumor (Somatic) TestingEffective 07/01/2022 - 12/31/2022
-
MOL.CU.256.A: Confirmatory Genetic TestingEffective 01/01/2023 - 06/30/2023
-
MOL.CU.256.A: Confirmatory Genetic TestingEffective 07/01/2022 - 12/31/2022
-
MOL.CU.256.A: Confirmatory Genetic TestingEffective 07/01/2021 - 12/31/2021
-
MOL.CU.256.A: Confirmatory Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.CU.256.A: Confirmatory Genetic TestingEffective 07/01/2023 - 12/31/2023
-
MOL.CU.256.A: Confirmatory Genetic TestingEffective 01/01/2022 - 06/30/2022
-
MOL.CU.291.A: Genetic Testing for Known Familial MutationsEffective 01/01/2024 - 06/30/2024
-
MOL.CU.291.A: Genetic Testing for Known Familial MutationsEffective 07/01/2023 - 12/31/2023
-
MOL.CU.291.A: Genetic Testing for Known Familial MutationsEffective 07/01/2021 - 12/31/2021
-
MOL.CU.291.A: Genetic Testing for Known Familial MutationsEffective 01/01/2023 - 06/30/2023
-
MOL.CU.291.A: Genetic Testing for Known Familial MutationsEffective 07/01/2022 - 12/31/2022
-
MOL.CU.291.A: Genetic Testing for Known Familial MutationsEffective 01/01/2022 - 06/30/2022
-
MOL.CU.292.A: Genetic Testing for Variants of Uncertain Clinical SignificanceEffective 07/01/2022 - 12/31/2022
-
MOL.CU.292.A: Genetic Testing for Variants of Uncertain Clinical SignificanceEffective 07/01/2023 - 12/31/2023
-
MOL.CU.292.A: Genetic Testing for Variants of Uncertain Clinical SignificanceEffective 01/01/2023 - 06/30/2023
-
MOL.CU.292.A: Genetic Testing for Variants of Uncertain Clinical SignificanceEffective 07/01/2021 - 12/31/2021
-
MOL.CU.292.A: Genetic Testing for Variants of Uncertain Clinical SignificanceEffective 01/01/2024 - 06/30/2024
-
MOL.CU.292.A: Genetic Testing for Variants of Uncertain Clinical SignificanceEffective 01/01/2022 - 06/30/2022
-
MOL.CU.298.A: Genetic Presymptomatic and Predictive Testing for Adult Onset Conditions in MinorsEffective 07/01/2021 - 12/31/2021
-
MOL.CU.298.A: Genetic Presymptomatic and Predictive Testing for Adult Onset Conditions in MinorsEffective 07/01/2023 - 12/31/2023
-
MOL.CU.298.A: Genetic Presymptomatic and Predictive Testing for Adult Onset Conditions in MinorsEffective 01/01/2023 - 06/30/2023
-
MOL.CU.298.A: Genetic Presymptomatic and Predictive Testing for Adult Onset Conditions in MinorsEffective 01/01/2022 - 06/30/2022
-
MOL.CU.298.A: Genetic Presymptomatic and Predictive Testing for Adult Onset Conditions in MinorsEffective 07/01/2022 - 12/31/2022
-
MOL.CU.298.A: Genetic Presymptomatic and Predictive Testing for Adult-Onset Conditions in MinorsEffective 01/01/2024 - 06/30/2024
-
MOL.CU.333.A: Medically Necessary Laboratory TestingEffective 07/01/2021 - 12/31/2021
-
MOL.CU.398.A: Infectious Disease Laboratory TestingEffective 01/01/2024 - 06/30/2024
-
Pharmacogenomic Testing for Drug Toxicity and ResponseEffective 07/01/2020 - 12/31/2020
-
Pharmacogenomic Testing for Drug Toxicity and ResponseEffective 01/01/2021 - 06/30/2021
-
Preimplantation Genetic Screening and DiagnosisEffective 01/01/2021 - 06/30/2021
-
Preimplantation Genetic Screening and DiagnosisEffective 07/01/2020 - 12/31/2020
-
ABL Tyrosine Kinase Sequencing for Chronic Myeloid LeukemiaEffective 07/01/2020 - 12/31/2020
-
ABL Tyrosine Kinase Sequencing for Chronic Myeloid LeukemiaEffective 01/01/2021 - 06/30/2021
-
Acute Myeloid Leukemia (AML) Genetic TestingEffective 01/01/2021 - 06/30/2021
-
Acute Myeloid Leukemia (AML) Genetic TestingEffective 07/01/2020 - 12/31/2020
-
Afirma Thyroid Cancer Classifer TestsEffective 10/01/2020 - 12/31/2020
-
Afirma Thyroid Cancer Classifer TestsEffective 07/01/2020 - 09/30/2020
-
Afirma Thyroid Cancer Classifier TestsEffective 01/01/2021 - 06/30/2021
-
AlloMap Gene Expression Profiling For Heart Transplant RejectionEffective 07/01/2020 - 12/31/2020
-
AlloMap Gene Expression Profiling For Heart Transplant RejectionEffective 01/01/2021 - 06/30/2021
-
AlloSure for Kidney Transplant RejectionEffective 07/01/2020 - 12/31/2020
-
AlloSure for Kidney Transplant RejectionEffective 01/01/2021 - 06/30/2021
-
Alpha-1-Antitrypsin Deficiency TestingEffective 01/01/2021 - 06/30/2021
-
Alpha-1-Antitrypsin Deficiency TestingEffective 07/01/2020 - 12/31/2020
-
Amyotrophic Lateral Sclerosis (ALS) Genetic TestingEffective 07/01/2020 - 12/31/2020
-
Amyotrophic Lateral Sclerosis (ALS) Genetic TestingEffective 01/01/2021 - 06/30/2021
-
Angelman Syndrome TestingEffective 07/01/2020 - 12/31/2020
-
Angelman Syndrome TestingEffective 01/01/2021 - 06/30/2021
-
APOE Variant Analysis for Alzheimer DiseaseEffective 01/01/2021 - 06/30/2021
-
APOE Variant Analysis for Alzheimer DiseaseEffective 07/01/2020 - 12/31/2020
-
Ashkenazi Jewish Carrier ScreeningEffective 07/01/2020 - 12/31/2020
-
Ashkenazi Jewish Carrier ScreeningEffective 01/01/2021 - 06/30/2021
-
Ataxia-Telangiectasia TestingEffective 07/01/2020 - 12/31/2020
-
Ataxia-Telangiectasia TestingEffective 01/01/2021 - 06/30/2021
-
BCR-ABL Negative Myeloproliferative Neoplasm TestingEffective 07/01/2020 - 12/31/2020
-
BCR-ABL Negative Myeloproliferative Neoplasm TestingEffective 01/01/2021 - 06/30/2021
-
BCR-ABL Testing for Chronic Myeloid LeukemiaEffective 07/01/2020 - 12/31/2020
-
BCR-ABL Testing for Chronic Myeloid LeukemiaEffective 01/01/2021 - 06/30/2021
-
Bloom Syndrome TestingEffective 01/01/2021 - 06/30/2021
-
Bloom Syndrome TestingEffective 07/01/2020 - 12/31/2020
-
BRAF Testing for Colorectal CancerEffective 07/01/2020 - 12/31/2020
-
BRAF Testing for Melanoma Kinase Inhibitor ResponseEffective 07/01/2020 - 12/31/2020
-
BRCA AnalysisEffective 07/01/2020 - 12/31/2020
-
BRCA AnalysisEffective 01/01/2021 - 06/30/2021
-
BRCA Ashkenazi Jewish Founder Mutation TestingEffective 01/01/2021 - 06/30/2021
-
BRCA Ashkenazi Jewish Founder Mutation TestingEffective 07/01/2020 - 12/31/2020
-
Breast Cancer Index for Breast Cancer PrognosisEffective 07/01/2020 - 12/31/2020
-
Breast Cancer Index for Breast Cancer PrognosisEffective 01/01/2021 - 06/30/2021
-
Brugada Syndrome Genetic TestingEffective 07/01/2020 - 12/31/2020
-
Brugada Syndrome Genetic TestingEffective 01/01/2021 - 06/30/2021
-
CADASIL TestingEffective 07/01/2020 - 12/31/2020
-
CADASIL TestingEffective 01/01/2021 - 06/30/2021
-
Canavan Disease TestingEffective 07/01/2020 - 12/31/2020
-
Canavan Disease TestingEffective 01/01/2021 - 06/30/2021
-
Charcot-Marie-Tooth Neuropathy TestingEffective 01/01/2021 - 06/30/2021
-
Charcot-Marie-Tooth Neuropathy TestingEffective 07/01/2020 - 12/31/2020
-
CHARGE Syndrome Genetic TestingEffective 07/01/2020 - 12/31/2020
-
CHARGE Syndrome Genetic TestingEffective 01/01/2021 - 06/30/2021
-
Chromosomal Microarray for Prenatal DiagnosisEffective 01/01/2021 - 06/30/2021
-
Chromosomal Microarray for Prenatal DiagnosisEffective 07/01/2020 - 12/31/2020
-
Chromosomal Microarray for Solid TumorsEffective 01/01/2021 - 06/30/2021
-
Chromosomal Microarray Testing For Developmental DisordersEffective 07/01/2020 - 12/31/2020
-
Chromosomal Microarray Testing For Developmental DisordersEffective 01/01/2021 - 06/30/2021
-
Chromosome Analysis for Blood and Bone MarrowEffective 07/01/2020 - 12/31/2020
-
Chromosome Analysis for Blood and Bone MarrowEffective 01/01/2021 - 06/30/2021
-
Chromosome Analysis for Reproductive Disorders, Prenatal Testing, and Developmental DisordersEffective 01/01/2021 - 06/30/2021
-
Chromosome Analysis for Reproductive Disorders, Prenatal Testing, and Developmental DisordersEffective 07/01/2020 - 12/31/2020
-
ConfirmMDx for Prostate Cancer Risk AssessmentEffective 01/01/2021 - 06/30/2021
-
ConfirmMDx for Prostate Cancer Risk AssessmentEffective 07/01/2020 - 12/31/2020
-
CxbladderEffective 01/01/2021 - 06/30/2021
-
CxbladderEffective 07/01/2020 - 12/31/2020
-
CYP2C19 Variant Analysis for Clopidogrel ResponseEffective 07/01/2020 - 12/31/2020
-
CYP2C9, VKORC1, and CYP4F2 Testing for Warfarin ResponseEffective 07/01/2020 - 12/31/2020
-
CYP2D6 Variant Analysis for Drug ResponseEffective 07/01/2020 - 12/31/2020
-
Cystic Fibrosis TestingEffective 07/01/2020 - 12/31/2020
-
Cystic Fibrosis TestingEffective 01/01/2021 - 06/30/2021
-
Decipher Prostate Cancer ClassifierEffective 07/01/2020 - 12/31/2020
-
Decipher Prostate Cancer ClassifierEffective 01/01/2021 - 06/30/2021
-
DecisionDx Uveal MelanomaEffective 07/01/2020 - 12/31/2020
-
DecisionDx Uveal MelanomaEffective 01/01/2021 - 06/30/2021
-
Dentatorubral Pallidoluysian Atrophy TestingEffective 01/01/2021 - 06/30/2021
-
Dentatorubral Pallidoluysian Atrophy TestingEffective 07/01/2020 - 12/31/2020
-
DermTech Pigmented Lesion AssayEffective 07/01/2020 - 12/31/2020
-
DermTech Pigmented Lesion AssayEffective 01/01/2021 - 06/30/2021
-
DPYD Variant Analysis for 5-FU ToxicityEffective 07/01/2020 - 12/31/2020
-
Duchenne and Becker Muscular Dystrophy TestingEffective 10/01/2020 - 12/31/2020
-
Duchenne and Becker Muscular Dystrophy TestingEffective 07/01/2020 - 09/30/2020
-
Duchenne and Becker Muscular Dystrophy TestingEffective 01/01/2021 - 06/30/2021
-
Early Onset Familial Alzheimer Disease (EOFAD) Genetic TestingEffective 07/01/2020 - 12/31/2020
-
Early Onset Familial Alzheimer Disease (EOFAD) Genetic TestingEffective 01/01/2021 - 06/30/2021
-
EGFR Testing for Non-Small Cell Lung Cancer TKI ResponseEffective 07/01/2020 - 12/31/2020
-
Ehlers-Danlos Syndrome TestingEffective 01/01/2021 - 06/30/2021
-
Ehlers-Danlos Syndrome TestingEffective 07/01/2020 - 12/31/2020
-
EndoPredict for Breast Cancer PrognosisEffective 01/01/2021 - 06/30/2021
-
EndoPredict for Breast Cancer PrognosisEffective 07/01/2020 - 12/31/2020
-
Exome SequencingEffective 10/01/2020 - 12/31/2020
-
Exome SequencingEffective 07/01/2020 - 09/30/2020
-
Exome SequencingEffective 01/01/2021 - 06/30/2021
-
Expanded Carrier Screening PanelsEffective 01/01/2021 - 06/30/2021
-
Expanded Carrier Screening PanelsEffective 07/01/2020 - 12/31/2020
-
Factor II/Prothrombin Testing for ThrombophiliaEffective 01/01/2021 - 06/30/2021
-
Factor II/Prothrombin Testing for ThrombophiliaEffective 07/01/2020 - 12/31/2020
-
Factor V Leiden Testing for ThrombophiliaEffective 07/01/2020 - 12/31/2020
-
Factor V Leiden Testing for Thrombophilia_Eff01012021Effective 01/01/2021 - 06/30/2021
-
Familial Adenomatous Polyposis TestingEffective 01/01/2021 - 06/30/2021
-
Familial Adenomatous Polyposis TestingEffective 07/01/2020 - 12/31/2020
-
Familial Hypercholesterolemia Genetic TestingEffective 01/01/2021 - 06/30/2021
-
Familial Hypercholesterolemia Genetic TestingEffective 07/01/2020 - 12/31/2020
-
Familial Malignant Melanoma TestingEffective 07/01/2020 - 12/31/2020
-
Familial Malignant Melanoma TestingEffective 01/01/2021 - 06/30/2021
-
Flow CytometryEffective 01/01/2021 - 06/30/2021
-
Flow CytometryEffective 07/01/2020 - 12/31/2020
-
FMR1-Related Disorders (Fragile X) Genetic TestingEffective 01/01/2021 - 06/30/2021
-
FMR1-Related Disorders (Fragile X) Genetic TestingEffective 07/01/2020 - 12/31/2020
-
FoundationOne CDxEffective 07/01/2020 - 12/31/2020
-
Friedreich's Ataxia Genetic TestingEffective 01/01/2021 - 06/30/2021
-
Friedreich's Ataxia Genetic TestingEffective 07/01/2020 - 12/31/2020
-
Gaucher Disease TestingEffective 01/01/2021 - 06/30/2021
-
Gaucher Disease TestingEffective 07/01/2020 - 12/31/2020
-
GeneSight Psychotropic TestEffective 07/01/2020 - 12/31/2020
-
GeneSight Psychotropic TestEffective 01/01/2021 - 06/30/2021
-
Genetic Testing for Arrhythmogenic Right Ventricular CardiomyopathyEffective 01/01/2021 - 06/30/2021
-
Genetic Testing for Arrhythmogenic Right Ventricular CardiomyopathyEffective 07/01/2020 - 12/31/2020
-
Genetic Testing for AutismEffective 07/01/2020 - 12/31/2020
-
Genetic Testing for Autism, Intellectual Disability, and Developmental DelayEffective 01/01/2021 - 06/30/2021
-
Genetic Testing for Dilated CardiomyopathyEffective 07/01/2020 - 12/31/2020
-
Genetic Testing for Dilated CardiomyopathyEffective 01/01/2021 - 06/30/2021
-
Genetic Testing for EpilepsyEffective 01/01/2021 - 06/30/2021
-
Genetic Testing for EpilepsyEffective 07/01/2020 - 12/31/2020
-
Genetic Testing for Facioscapulohumeral Muscular DystrophyEffective 07/01/2020 - 12/31/2020
-
Genetic Testing for Facioscapulohumeral Muscular DystrophyEffective 01/01/2021 - 06/30/2021
-
Genetic Testing for Hereditary PancreatitisEffective 07/01/2020 - 12/31/2020
-
Genetic Testing for Hereditary PancreatitisEffective 01/01/2021 - 06/30/2021
-
Genetic Testing for Limb Girdle Muscular DystrophyEffective 07/01/2020 - 12/31/2020
-
Genetic Testing for Limb Girdle Muscular DystrophyEffective 01/01/2021 - 06/30/2021
-
Genetic Testing for Nonsyndromic Hearing Loss and DeafnessEffective 01/01/2021 - 06/30/2021
-
Genetic Testing for Nonsyndromic Hearing Loss and DeafnessEffective 07/01/2020 - 12/31/2020
-
Genitourinary Conditions: Molecular TestingEffective 07/01/2020 - 12/31/2020
-
Genitourinary Conditions: Molecular TestingEffective 01/01/2021 - 06/30/2021
-
Hemoglobinopathies Genetic TestingEffective 01/01/2021 - 06/30/2021
-
Hemoglobinopathies Genetic TestingEffective 07/01/2020 - 12/31/2020
-
Hereditary Ataxia Multigene Panel TestingEffective 10/01/2020 - 12/31/2020
-
Hereditary Ataxia Multigene Panel TestingEffective 07/01/2020 - 09/30/2020
-
Hereditary Ataxia Multigene Panel TestingEffective 01/01/2021 - 06/30/2021
-
Hereditary Cancer Syndrome Multigene PanelsEffective 01/01/2021 - 06/30/2021
-
Hereditary Cancer Syndrome Multigene PanelsEffective 07/01/2020 - 12/31/2020
-
Hereditary Connective Tissue Disorder TestingEffective 01/01/2021 - 06/30/2021
-
Hereditary Connective Tissue Disorder TestingEffective 07/01/2020 - 12/31/2020
-
Hereditary Hemochromatosis TestingEffective 07/01/2020 - 12/31/2020
-
Hereditary Hemochromatosis TestingEffective 01/01/2021 - 06/30/2021
-
HIV Phenotype and Genotype TestingEffective 07/01/2020 - 12/31/2020
-
HIV Tropism Testing for Maraviroc ResponseEffective 07/01/2020 - 12/31/2020
-
HIV Tropism Testing for Maraviroc ResponseEffective 01/01/2021 - 06/30/2021
-
HLA Typing for Celiac DiseaseEffective 01/01/2021 - 06/30/2021
-
HLA Typing for Celiac DiseaseEffective 07/01/2020 - 12/31/2020
-
HLA-B*1502 Variant Analysis for Carbamazepine ResponseEffective 07/01/2020 - 12/31/2020
-
HLA-B*5701 Genotyping for Abacavir HypersensitivityEffective 07/01/2020 - 12/31/2020
-
Huntington Disease TestingEffective 07/01/2020 - 12/31/2020
-
Huntington Disease TestingEffective 01/01/2021 - 06/30/2021
-
Hypertrophic Cardiomyopathy TestingEffective 01/01/2021 - 06/30/2021
-
Hypertrophic Cardiomyopathy TestingEffective 07/01/2020 - 12/31/2020
-
Immunohistochemistry (IHC)Effective 01/01/2021 - 06/30/2021
-
Immunohistochemistry (IHC)Effective 07/01/2020 - 12/31/2020
-
KRAS Testing for Anti-EGFR Response in Metastatic Colorectal CancerEffective 07/01/2020 - 12/31/2020
-
Laboratory Claim ReimbursementEffective 07/01/2020 - 12/31/2020
-
Leber Hereditary Optic Neuropathy (LHON) Genetic TestingEffective 07/01/2020 - 12/31/2020
-
Legius Syndrome Genetic TestingEffective 07/01/2020 - 12/31/2020
-
Legius Syndrome Genetic TestingEffective 01/01/2021 - 06/30/2021
-
Li-Fraumeni Syndrome TestingEffective 07/01/2020 - 12/31/2020
-
Li-Fraumeni Syndrome TestingEffective 01/01/2021 - 06/30/2021
-
Liquid Biopsy Testing - Solid TumorsEffective 07/01/2020 - 12/31/2020
-
Liquid Biopsy Testing - Solid TumorsEffective 01/01/2021 - 06/30/2021
-
Long QT Syndrome TestingEffective 07/01/2020 - 12/31/2020
-
Long QT Syndrome TestingEffective 01/01/2021 - 06/30/2021
-
Lynch Syndrome Genetic TestingEffective 01/01/2021 - 06/30/2021
-
Lynch Syndrome Genetic TestingEffective 07/01/2020 - 12/31/2020
-
Lynch Syndrome Tumor Screening - First-TierEffective 07/01/2020 - 12/31/2020
-
Lynch Syndrome Tumor Screening - Second-TierEffective 07/01/2020 - 12/31/2020
-
Lynch Syndrome Tumor Screening - Second-TierEffective 01/01/2021 - 06/30/2021
-
Macula RiskEffective 07/01/2020 - 12/31/2020
-
Macula RiskEffective 01/01/2021 - 06/30/2021
-
Mammaprint 70-Gene Breast Cancer Recurrence AssayEffective 01/01/2021 - 06/30/2021
-
Mammaprint 70-Gene Breast Cancer Recurrence AssayEffective 07/01/2020 - 12/31/2020
-
Mammostrat Breast Cancer Recurrence AssayEffective 01/01/2021 - 06/30/2021
-
Mammostrat Breast Cancer Recurrence AssayEffective 07/01/2020 - 12/31/2020
-
Marfan Syndrome Genetic TestingEffective 07/01/2020 - 12/31/2020
-
Marfan Syndrome Genetic TestingEffective 01/01/2021 - 06/30/2021
-
Maturity-Onset Diabetes of the Young (MODY) TestingEffective 01/01/2021 - 06/30/2021
-
Maturity-Onset Diabetes of the Young (MODY) TestingEffective 07/01/2020 - 12/31/2020
-
MGMT Testing for Malignant Glioma Alkylating Agent ResponseEffective 07/01/2020 - 12/31/2020
-
MGMT Testing for Malignant Glioma Alkylating Agent ResponseEffective 01/01/2021 - 06/30/2021
-
Microsatellite Instability and Immunohistochemistry Testing in CancerEffective 01/01/2021 - 06/30/2021
-
Mitochondrial DNA Deletion SyndromesEffective 07/01/2020 - 12/31/2020
-
Mitochondrial Encephalomyopathy, Lactic Acidosis, and Stroke-like Episodes (MELAS) Genetic TestingEffective 07/01/2020 - 12/31/2020
-
Mitochondrial Genetic TestingEffective 07/01/2020 - 12/31/2020
-
Mitochondrial Genetic TestingEffective 01/01/2021 - 06/30/2021
-
Mitochondrial Neurogastrointestinal Encephalopathy (MNGIE)Effective 07/01/2020 - 12/31/2020
-
MOL.CS.103.A Flow CytometryEffective 01/01/2024 - 06/30/2024
-
MOL.CS.103.A: Flow CytometryEffective 07/01/2022 - 12/31/2022
-
MOL.CS.103.A: Flow CytometryEffective 01/01/2023 - 06/30/2023
-
MOL.CS.103.A: Flow CytometryEffective 01/01/2022 - 06/30/2022
-
MOL.CS.103.A: Flow CytometryEffective 07/01/2021 - 12/31/2021
-
MOL.CS.103.A: Flow CytometryEffective 07/01/2023 - 12/31/2023
-
MOL.CS.104.A: ImmunohistochemistryEffective 01/01/2023 - 06/30/2023
-
MOL.CS.104.A: ImmunohistochemistryEffective 07/01/2022 - 12/31/2022
-
MOL.CS.104.A: ImmunohistochemistryEffective 07/01/2023 - 12/31/2023
-
MOL.CS.104.A: ImmunohistochemistryEffective 07/01/2021 - 12/31/2021
-
MOL.CS.104.A: ImmunohistochemistryEffective 01/01/2022 - 06/30/2022
-
MOL.CS.104.A: Immunohistochemistry (IHC)Effective 01/01/2024 - 06/30/2024
-
MOL.CS.105.A: Laboratory Claim ReimbursementEffective 07/01/2023 - 12/31/2023
-
MOL.CS.105.A: Laboratory Claim ReimbursementEffective 01/01/2024 - 06/30/2024
-
MOL.CS.105.A: Laboratory Claim ReimbursementEffective 01/01/2023 - 06/30/2023
-
MOL.CS.105.A: Laboratory Claim ReimbursementEffective 07/01/2021 - 12/31/2021
-
MOL.CS.105.A: Laboratory Claim ReimbursementEffective 01/01/2022 - 06/30/2022
-
MOL.CS.105.A: Laboratory Claim ReimbursementEffective 07/01/2022 - 12/31/2022
-
MOL.CS.106.A Genitourinary Conditions Molecular TestingEffective 07/01/2023 - 12/31/2023
-
MOL.CS.106.A: Genitourinary Conditions Molecular TestingEffective 07/01/2022 - 12/31/2022
-
MOL.CS.106.A: Genitourinary Conditions Molecular TestingEffective 07/01/2021 - 12/31/2021
-
MOL.CS.106.A: Genitourinary Conditions Molecular TestingEffective 01/01/2022 - 06/30/2022
-
MOL.CS.106.A: Genitourinary Conditions Molecular TestingEffective 01/01/2023 - 06/30/2023
-
MOL.CS.106.A: Sexually Transmitted and Other Reproductive Tract Infection TestingEffective 01/01/2024 - 06/30/2024
-
MOL.CS.108.A: UroVysion FISH for Bladder CancerEffective 07/01/2023 - 12/31/2023
-
MOL.CS.108.A: UroVysion FISH for Bladder CancerEffective 07/01/2022 - 12/31/2022
-
MOL.CS.108.A: UroVysion FISH for Bladder CancerEffective 01/01/2024 - 06/30/2024
-
MOL.CS.108.A: UroVysion FISH for Bladder CancerEffective 01/01/2023 - 06/30/2023
-
MOL.CS.108.A: UroVysion FISH for Bladder CancerEffective 07/01/2021 - 12/31/2021
-
MOL.CS.108.A: UroVysion FISH for Bladder CancerEffective 01/01/2022 - 06/30/2022
-
MOL.CS.146.A: HLA Typing for Celiac DiseaseEffective 01/01/2023 - 06/30/2023
-
MOL.CS.146.A: HLA Typing for Celiac DiseaseEffective 07/01/2022 - 12/31/2022
-
MOL.CS.146.A: HLA Typing for Celiac DiseaseEffective 07/01/2023 - 12/31/2023
-
MOL.CS.146.A: HLA Typing for Celiac DiseaseEffective 07/01/2021 - 12/31/2021
-
MOL.CS.146.A: HLA Typing for Celiac DiseaseEffective 01/01/2024 - 06/30/2024
-
MOL.CS.146.A: HLA Typing for Celiac DiseaseEffective 01/01/2022 - 06/30/2022
-
MOL.CS.185.A: HIV Tropism Testing for Maraviroc ResponseEffective 07/01/2022 - 12/31/2022
-
MOL.CS.185.A: HIV Tropism Testing for Maraviroc ResponseEffective 07/01/2023 - 12/31/2023
-
MOL.CS.185.A: HIV Tropism Testing for Maraviroc ResponseEffective 01/01/2024 - 06/30/2024
-
MOL.CS.185.A: HIV Tropism Testing for Maraviroc ResponseEffective 01/01/2023 - 06/30/2023
-
MOL.CS.218.A: Prenatal Aneuploidy FISH TestingEffective 01/01/2024 - 06/30/2024
-
MOL.CS.218.A: Prenatal Aneuploidy FISH TestingEffective 01/01/2022 - 06/30/2022
-
MOL.CS.218.A: Prenatal Aneuploidy FISH TestingEffective 07/01/2023 - 12/31/2022
-
MOL.CS.218.A: Prenatal Aneuploidy FISH TestingEffective 01/01/2023 - 06/30/2022
-
MOL.CS.218.A: Prenatal Aneuploidy FISH TestingEffective 07/01/2022 - 12/31/2022
-
MOL.CS.218.A: Prenatal Aneuploidy FISH TestingEffective 07/01/2021 - 12/31/2021
-
MOL.CS.277.A: Gastrointestinal Pathogen Panel (GIPP) Molecular TestingEffective 01/01/2024 - 06/30/2024
-
MOL.CS.277.A: Molecular Gastrointestinal Pathogen Panel (GIPP) TestingEffective 01/01/2022 - 06/30/2022
-
MOL.CS.277.A: Molecular Gastrointestinal Pathogen Panel (GIPP) TestingEffective 01/01/2023 - 06/30/2023
-
MOL.CS.277.A: Molecular Gastrointestinal Pathogen Panel (GIPP) TestingEffective 07/01/2022 - 12/31/2022
-
MOL.CS.277.A: Molecular Gastrointestinal Pathogen Panel (GIPP) TestingEffective 07/01/2021 - 12/31/2021
-
MOL.CS.277.A: Molecular Gastrointestinal Pathogen Panel (GIPP) TestingEffective 07/01/2023 - 12/31/2023
-
MOL.CS.289.A: Chromosome Analysis for Reproductive Disorders, Prenatal Testing, and Developmental DisordersEffective 01/01/2024 - 06/30/2024
-
MOL.CS.289.A: Chromosome Analysis for Reproductive Disorders, Prenatal-Testing, and Developmental DisordersEffective 07/01/2023 - 12/31/2023
-
MOL.CS.289.A: Chromosome Analysis for Reproductive Disorders, Prenatal-Testing, and Developmental DisordersEffective 07/01/2021 - 12/31/2021
-
MOL.CS.289.A: Chromosome Analysis for Reproductive Disorders, Prenatal-Testing, and Developmental DisordersEffective 01/01/2022 - 06/30/2022
-
MOL.CS.289.A: Chromosome Analysis for Reproductive Disorders, Prenatal-Testing, and Developmental DisordersEffective 07/01/2022 - 12/31/2022
-
MOL.CS.289.A: Chromosome Analysis for Reproductive Disorders, Prenatal-Testing, and Developmental DisordersEffective 01/01/2023 - 06/30/2023
-
MOL.CS.293.I: Molecular Respiratory Infection Pathogen Panel (RIPP) TestingEffective 01/01/2022 - 06/30/2022
-
MOL.CS.293.I: Molecular Respiratory Infection Pathogen Panel (RIPP) TestingEffective 07/01/2023 - 12/31/2023
-
MOL.CS.293.I: Molecular Respiratory Infection Pathogen Panel (RIPP) TestingEffective 07/01/2022 - 12/31/2022
-
MOL.CS.293.I: Molecular Respiratory Infection Pathogen Panel (RIPP) TestingEffective 07/01/2021 - 12/31/2021
-
MOL.CS.293.I: Molecular Respiratory Infection Pathogen Panel (RIPP) TestingEffective 01/01/2023 - 06/30/2023
-
MOL.CS.293.I: Respiratory Infection Pathogen Panel (RIPP) Molecular TestingEffective 01/01/2024 - 06/30/2024
-
MOL.CS.321.A: Human Immunodeficiency Virus Laboratory TestingEffective 01/01/2024 - 06/30/2024
-
MOL.CS.321.A: In-vitro Testing for HIVEffective 01/01/2022 - 06/30/2022
-
MOL.CS.321.A: In-vitro Testing for HIVEffective 07/01/2023 - 12/31/2023
-
MOL.CS.321.A: In-vitro Testing for HIVEffective 07/01/2022 - 12/31/2022
-
MOL.CS.321.A: In-vitro Testing for HIVEffective 01/01/2023 - 06/30/2023
-
MOL.CS.321.A: In-vitro Testing for HIVEffective 07/01/2021 - 12/31/2021
-
MOL.CS.332.A: Lyme Disease TestingEffective 07/01/2022 - 12/31/2022
-
MOL.CS.332.A: Lyme Disease TestingEffective 01/01/2022 - 06/30/2022
-
MOL.CS.332.A: Lyme Disease TestingEffective 07/01/2023 - 12/31/2023
-
MOL.CS.332.A: Lyme Disease TestingEffective 01/01/2023 - 06/30/2023
-
MOL.CS.332.A: Lyme Disease TestingEffective 07/01/2021 - 12/31/2021
-
MOL.CS.332.A: Lyme Disease TestingEffective 01/01/2024 - 06/30/2024
-
MOL.CS.333.A: Medically Necessary Laboratory TestingEffective 01/01/2024 - 06/30/2024
-
MOL.CS.333.A: Medically Necessary Laboratory TestingEffective 07/01/2023 - 12/31/2023
-
MOL.CS.353.A: SARS-CoV-2 (COVID-19) Laboratory TestingEffective 01/01/2024 - 06/30/2024
-
MOL.CS.362.A: Human Papillomavirus (HPV) Molecular TestingEffective 01/01/2023 - 06/30/2023
-
MOL.CS.362.A: Human Papillomavirus (HPV) Molecular TestingEffective 07/01/2023 - 12/31/2023
-
MOL.CS.362.A: Human Papillomavirus (HPV) Molecular TestingEffective 01/01/2022 - 06/30/2022
-
MOL.CS.362.A: Human Papillomavirus (HPV) Molecular TestingEffective 01/01/2024 - 06/30/2024
-
MOL.CS.362.A: Human Papillomavirus (HPV) Molecular TestingEffective 07/01/2021 - 12/31/2021
-
MOL.CS.362.A: Human Papillomavirus (HPV) Molecular TestingEffective 07/01/2022 - 12/31/2022
-
MOL.CS.363.A: Pathology Testing with Mohs Micrographic SurgeryEffective 07/01/2023 - 12/31/2023
-
MOL.CS.363.A: Pathology Testing with Mohs Micrographic SurgeryEffective 07/01/2022 - 12/31/2022
-
MOL.CS.363.A: Pathology Testing with Mohs Micrographic SurgeryEffective 01/01/2023 - 06/30/2023
-
MOL.CS.363.A: Pathology Testing with Mohs Micrographic SurgeryEffective 01/01/2022 - 06/30/2022
-
MOL.CS.363.A: Pathology Testing with Mohs Micrographic SurgeryEffective 01/01/2024 - 06/30/2024
-
MOL.CS.363.A: Pathology Testing with Mohs Micrographic SurgeryEffective 07/01/2021 - 12/31/2021
-
MOL.CS.402.A: Nail Disorder Infectious Disease Testing, Including OnychomycosisEffective 01/01/2024 - 06/30/2024
-
MOL.CS.403.A: Urinary Tract Infection Molecular TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.121.A: ABL Tyrosine Kinase Sequencing for Chronic Myeloid LeukemiaEffective 07/01/2021 - 12/31/2021
-
MOL.TS.122.A: Afirma Thyroid Cancer Classifier TestsEffective 07/01/2022 - 12/31/2022
-
MOL.TS.122.A: Afirma Thyroid Cancer Classifier TestsEffective 01/01/2022 - 06/30/2022
-
MOL.TS.122.A: Afirma Thyroid Cancer Classifier TestsEffective 07/01/2021 - 12/31/2021
-
MOL.TS.122.A: Afirma Thyroid Cancer Classifier TestsEffective 01/01/2023 - 06/30/2023
-
MOL.TS.122.A: Afirma Thyroid Cancer Classifier TestsEffective 01/01/2024 - 06/30/2024
-
MOL.TS.122.A: Afirma Thyroid Cancer Classifier TestsEffective 07/01/2023 - 12/31/2023
-
MOL.TS.123.A AlloMap Gene Expression Profiling For Heart Transplant RejectionEffective 01/01/2024 - 06/30/2024
-
MOL.TS.123.A: AlloMap Gene Expression Profiling for Heart Transplant RejectionEffective 07/01/2021 - 12/31/2021
-
MOL.TS.123.A: AlloMap Gene Expression Profiling for Heart Transplant RejectionEffective 07/01/2022 - 12/31/2022
-
MOL.TS.123.A: AlloMap Gene Expression Profiling for Heart Transplant RejectionEffective 07/01/2023 - 12/31/2023
-
MOL.TS.123.A: AlloMap Gene Expression Profiling for Heart Transplant RejectionEffective 01/01/2023 - 06/30/2023
-
MOL.TS.123.A: AlloMap Gene Expression Profiling for Heart Transplant RejectionEffective 01/01/2022 - 06/30/2022
-
MOL.TS.124.A: Alpha 1 Antitrypsin Deficiency TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.124.A: Alpha 1 Antitrypsin Deficiency TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.124.A: Alpha 1 Antitrypsin Deficiency TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.124.A: Alpha 1 Antitrypsin Deficiency TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.124.A: Alpha 1 Antitrypsin Deficiency TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.124.A: Alpha-1 Antitrypsin Deficiency TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.125.A: Amyotrophic Lateral Sclerosis (ALS) Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.125.A: Amyotrophic Lateral Sclerosis (ALS) Genetic TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.125.A: Amyotrophic Lateral Sclerosis (ALS) Genetic TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.125.A: Amyotrophic Lateral Sclerosis (ALS) Genetic TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.125.A: Amyotrophic Lateral Sclerosis (ALS) Genetic TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.125.A: Amyotrophic Lateral Sclerosis (ALS) Genetic TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.126.A: Angelman Syndrome Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.126.A: Angelman Syndrome TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.126.A: Angelman Syndrome TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.126.A: Angelman Syndrome TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.126.A: Angelman Syndrome TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.126.A: Angelman Syndrome TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.128.A: APOE Variant Analysis for Alzheimer Disease TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.128.A: APOE Variant Analysis for Alzheimer Disease TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.128.A: APOE Variant Analysis for Alzheimer Disease TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.128.A: APOE Variant Analysis for Alzheimer Disease TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.128.A: APOE Variant Analysis for Alzheimer Disease TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.128.A: APOE Variant Analysis for Alzheimer Disease TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.129.A: Ashkenazi Jewish Carrier ScreeningEffective 01/01/2023 - 06/30/2023
-
MOL.TS.129.A: Ashkenazi Jewish Carrier ScreeningEffective 01/01/2024 - 06/30/2024
-
MOL.TS.129.A: Ashkenazi Jewish Carrier ScreeningEffective 01/01/2022 - 06/30/2022
-
MOL.TS.129.A: Ashkenazi Jewish Carrier ScreeningEffective 07/01/2022 - 12/31/2022
-
MOL.TS.129.A: Ashkenazi Jewish Carrier ScreeningEffective 07/01/2023 - 12/31/2023
-
MOL.TS.129.A: Ashkenazi Jewish Carrier ScreeningEffective 07/01/2021 - 12/31/2021
-
MOL.TS.130.A: Ataxia Telangiectasia TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.130.A: Ataxia Telangiectasia TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.130.A: Ataxia Telangiectasia TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.130.A: Ataxia Telangiectasia TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.130.A: Ataxia Telangiectasia TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.130.A: Ataxia-Telangiectasia Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.131.A: BCR-ABL1 Testing for Chronic Myeloid LeukemiaEffective 07/01/2021 - 12/31/2021
-
MOL.TS.131.A: BCR-ABL1 Testing for Chronic Myeloid LeukemiaEffective 01/01/2022 - 06/30/2022
-
MOL.TS.132.A: Bloom Syndrome Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.132.A: Bloom Syndrome TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.132.A: Bloom Syndrome TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.132.A: Bloom Syndrome TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.132.A: Bloom Syndrome TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.132.A: Bloom Syndrome TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.135.A: BRCA Ashkenazi Jewish Founder Mutation TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.135.A: BRCA Ashkenazi Jewish Founder Mutation TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.135.A: BRCA Ashkenazi Jewish Founder Mutation TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.135.A: BRCA Ashkenazi Jewish Founder Mutation TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.135.A: BRCA Ashkenazi Jewish Founder Mutation TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.144.A: CADASIL Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.144.A: CADASIL TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.144.A: CADASIL TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.144.A: CADASIL TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.144.A: CADASIL TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.144.A: CADASIL TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.145.A: Canavan Disease Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.145.A: Canavan Disease TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.145.A: Canavan Disease TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.145.A: Canavan Disease TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.145.A: Canavan Disease TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.145.A: Canavan Disease TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.148.A: Charcot-Marie-Tooth Neuropathy TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.148.A: Charcot-Marie-Tooth Neuropathy TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.148.A: Charcot-Marie-Tooth Neuropathy TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.148.A: Charcot-Marie-Tooth Neuropathy TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.148.A: Charcot-Marie-Tooth Neuropathy TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.148.A: Charcot-Marie-Tooth Neuropathy TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.149.A: Chromosomal Microarray for Prenatal DiagnosisEffective 01/01/2024 - 06/30/2024
-
MOL.TS.149.A: Chromosomal Microarray for Prenatal DiagnosisEffective 07/01/2022 - 12/31/2022
-
MOL.TS.149.A: Chromosomal Microarray for Prenatal DiagnosisEffective 01/01/2022 - 06/30/2022
-
MOL.TS.149.A: Chromosomal Microarray for Prenatal DiagnosisEffective 07/01/2021 - 12/31/2021
-
MOL.TS.149.A: Chromosomal Microarray for Prenatal DiagnosisEffective 07/01/2023 - 12/31/2023
-
MOL.TS.149.A: Chromosomal Microarray for Prenatal DiagnosisEffective 01/01/2023 - 06/30/2023
-
MOL.TS.150.A: Chromosomal Microarray Testing For Developmental DisordersEffective 07/01/2023 - 12/31/2023
-
MOL.TS.150.A: Chromosomal Microarray Testing For Developmental DisordersEffective 01/01/2023 - 06/30/2023
-
MOL.TS.150.A: Chromosomal Microarray Testing For Developmental DisordersEffective 07/01/2021 - 12/31/2021
-
MOL.TS.150.A: Chromosomal Microarray Testing For Developmental DisordersEffective 01/01/2022 - 06/30/2022
-
MOL.TS.150.A: Chromosomal Microarray Testing For Developmental DisordersEffective 01/01/2024 - 06/30/2024
-
MOL.TS.150.A: Chromosomal Microarray Testing For Developmental DisordersEffective 07/01/2022 - 12/31/2022
-
MOL.TS.151.A: Chromosome Analysis for Blood and Bone Marrow CancersEffective 01/01/2022 - 06/30/2022
-
MOL.TS.151.A: Chromosome Analysis for Blood and Bone Marrow CancersEffective 07/01/2023 - 12/31/2023
-
MOL.TS.151.A: Chromosome Analysis for Blood and Bone Marrow CancersEffective 07/01/2022 - 12/31/2022
-
MOL.TS.151.A: Chromosome Analysis for Blood and Bone Marrow CancersEffective 01/01/2024 - 06/30/2024
-
MOL.TS.151.A: Chromosome Analysis for Blood and Bone Marrow CancersEffective 07/01/2021 - 12/31/2021
-
MOL.TS.151.A: Chromosome Analysis for Blood and Bone Marrow CancersEffective 01/01/2023 - 06/30/2023
-
MOL.TS.153.A: ConfirmMDx for Prostate Cancer Risk AssessmentEffective 07/01/2023 - 12/31/2023
-
MOL.TS.153.A: ConfirmMDx for Prostate Cancer Risk AssessmentEffective 01/01/2022 - 06/30/2022
-
MOL.TS.153.A: ConfirmMDx for Prostate Cancer Risk AssessmentEffective 01/01/2024 - 06/30/2024
-
MOL.TS.153.A: ConfirmMDx for Prostate Cancer Risk AssessmentEffective 07/01/2022 - 12/31/2022
-
MOL.TS.153.A: ConfirmMDx for Prostate Cancer Risk AssessmentEffective 01/01/2023 - 06/30/2023
-
MOL.TS.153.A: ConfirmMDx for Prostate Cancer Risk AssessmentEffective 07/01/2021 - 12/31/2021
-
MOL.TS.158.A: Cystic Fibrosis Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.158.A: Cystic Fibrosis TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.158.A: Cystic Fibrosis TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.158.A: Cystic Fibrosis TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.158.A: Cystic Fibrosis TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.158.A: Cystic Fibrosis TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.159.A: Dentatorubral Pallidoluysian Atrophy TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.159.A: Dentatorubral Pallidoluysian Atrophy TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.159.A: Dentatorubral Pallidoluysian Atrophy TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.159.A: Dentatorubral Pallidoluysian Atrophy TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.159.A: Dentatorubral Pallidoluysian Atrophy TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.159.A: Dentatorubral-Pallidoluysian Atrophy Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.161.A: Duchenne and Becker Muscular Dystrophy TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.161.A: Duchenne and Becker Muscular Dystrophy TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.161.A: Duchenne and Becker Muscular Dystrophy TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.161.A: Duchenne and Becker Muscular Dystrophy TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.161.A: Duchenne and Becker Muscular Dystrophy TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.161.A: Duchenne and Becker Muscular Dystrophy TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.162.A: Early Onset Familial Alzheimer Disease Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.162A: Early Onset Familial Alzheimer Disease (EOFAD) Genetic TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.162A: Early Onset Familial Alzheimer Disease (EOFAD) Genetic TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.162A: Early Onset Familial Alzheimer Disease (EOFAD) Genetic TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.162A: Early Onset Familial Alzheimer Disease (EOFAD) Genetic TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.162A: Early Onset Familial Alzheimer Disease (EOFAD) Genetic TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.164.A: SEPT9 Methylation Analysis for Colorectal CancerEffective 01/01/2024 - 06/30/2024
-
MOL.TS.164.A: SEPT9 Methylation Analysis for Colorectal CancerEffective 01/01/2022 - 06/30/2022
-
MOL.TS.164.A: SEPT9 Methylation Analysis for Colorectal CancerEffective 01/01/2023 - 06/30/2023
-
MOL.TS.164.A: SEPT9 Methylation Analysis for Colorectal CancerEffective 07/01/2021 - 12/31/2021
-
MOL.TS.164.A: SEPT9 Methylation Analysis for Colorectal CancerEffective 07/01/2022 - 12/31/2022
-
MOL.TS.164.A: SEPT9 Methylation Analysis for Colorectal CancerEffective 07/01/2023 - 12/31/2023
-
MOL.TS.165.A Expanded Carrier Screening PanelsEffective 07/01/2023 - 12/31/2023
-
MOL.TS.165.A: Expanded Carrier Screening PanelsEffective 01/01/2022 - 06/30/2022
-
MOL.TS.165.A: Expanded Carrier Screening PanelsEffective 07/01/2022 - 12/31/2022
-
MOL.TS.165.A: Expanded Carrier Screening PanelsEffective 01/01/2023 - 06/30/2023
-
MOL.TS.165.A: Expanded Carrier Screening PanelsEffective 07/01/2021 - 12/31/2021
-
MOL.TS.165.A: Expanded Carrier Screening PanelsEffective 01/01/2024 - 06/30/2024
-
MOL.TS.166A: Factor II Prothrombin Testing for ThrombophiliaEffective 07/01/2021 - 12/31/2021
-
MOL.TS.167.A: Factor V Leiden Testing for ThrombophiliaEffective 07/01/2021 - 12/31/2021
-
MOL.TS.168.A: Familial Adenomatous PolyposisEffective 07/01/2021 - 12/31/2021
-
MOL.TS.168.A: Familial Adenomatous PolyposisEffective 01/01/2022 - 06/30/2022
-
MOL.TS.168.A: Familial Adenomatous PolyposisEffective 07/01/2023 - 12/31/2023
-
MOL.TS.168.A: Familial Adenomatous PolyposisEffective 01/01/2023 - 06/30/2023
-
MOL.TS.168.A: Familial Adenomatous PolyposisEffective 07/01/2022 - 12/31/2022
-
MOL.TS.168.A: Familial Adenomatous Polyposis Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.169.A: Familial Hypercholesterolemia Genetic TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.169.A: Familial Hypercholesterolemia Genetic TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.169.A: Familial Hypercholesterolemia Genetic TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.169.A: Familial Hypercholesterolemia Genetic TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.169.A: Familial Hypercholesterolemia Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.169.A: Familial Hypercholesterolemia Genetic TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.170.A: Familial Malignant Melanoma Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.170.A: Familial Malignant Melanoma TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.170.A: Familial Malignant Melanoma TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.170.A: Familial Malignant Melanoma TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.170.A: Familial Malignant Melanoma TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.170.A: Familial Malignant Melanoma TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.172.A: FMR1 Related Disorders (Fragile X) Genetic TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.172.A: FMR1 Related Disorders (Fragile X) Genetic TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.172.A: FMR1 Related Disorders (Fragile X) Genetic TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.172.A: FMR1 Related Disorders (Fragile X) Genetic TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.172.A: FMR1 Related Disorders (Fragile X) Genetic TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.172.A: FMR1-Related Disorders (Fragile X) Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.173.A: Gaucher Disease Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.173.A: Gaucher Disease TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.173.A: Gaucher Disease TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.173.A: Gaucher Disease TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.173.A: Gaucher Disease TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.173.A: Gaucher Disease TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.182.A: Hereditary Cancer Syndrome Multigene PanelsEffective 01/01/2024 - 06/30/2024
-
MOL.TS.182.A: Hereditary Cancer Syndrome Multigene PanelsEffective 07/01/2022 - 12/31/2022
-
MOL.TS.182.A: Hereditary Cancer Syndrome Multigene PanelsEffective 07/01/2023 - 12/31/2023
-
MOL.TS.182.A: Hereditary Cancer Syndrome Multigene PanelsEffective 01/01/2023 - 06/30/2023
-
MOL.TS.182.A: Hereditary Cancer Syndrome Multigene PanelsEffective 07/01/2021 - 12/31/2021
-
MOL.TS.182.A: Hereditary Cancer Syndrome Multigene PanelsEffective 01/01/2022 - 06/30/2022
-
MOL.TS.183.A: Hemochromatosis TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.183.A: Hemochromatosis TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.183.A: Hemochromatosis TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.183.A: Hemochromatosis TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.183.A: Hemochromatosis TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.183.A: HFE Hemochromatosis Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.185.A: HIV Tropism Testing for Maraviroc ResponseEffective 07/01/2021 - 12/31/2021
-
MOL.TS.185.A: HIV Tropism Testing for Maraviroc ResponseEffective 01/01/2022 - 06/30/2022
-
MOL.TS.188.A: Huntington DiseaseEffective 07/01/2021 - 12/31/2021
-
MOL.TS.188.A: Huntington DiseaseEffective 07/01/2022 - 12/31/2022
-
MOL.TS.188.A: Huntington DiseaseEffective 01/01/2022 - 06/30/2022
-
MOL.TS.188.A: Huntington DiseaseEffective 07/01/2023 - 12/31/2023
-
MOL.TS.188.A: Huntington DiseaseEffective 01/01/2023 - 06/30/2023
-
MOL.TS.188.A: Huntington Disease Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.189.A- Hypertrophic Cardiomyopathy Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.189.A: Hypertrophic Cardiomyopathy TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.189.A: Hypertrophic Cardiomyopathy TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.189.A: Hypertrophic Cardiomyopathy TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.189.A: Hypertrophic Cardiomyopathy TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.189.A: Hypertrophic Cardiomyopathy TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.193.A: Li Fraumeni SyndromeEffective 07/01/2022 - 12/31/2022
-
MOL.TS.193.A: Li Fraumeni SyndromeEffective 07/01/2021 - 12/31/2021
-
MOL.TS.193.A: Li Fraumeni SyndromeEffective 01/01/2022 - 06/30/2022
-
MOL.TS.193.A: Li Fraumeni SyndromeEffective 07/01/2023 - 12/31/2023
-
MOL.TS.193.A: Li Fraumeni SyndromeEffective 01/01/2023 - 06/30/2023
-
MOL.TS.193.A: Li-Fraumeni Syndrome Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.194.I Liquid Biopsy TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.194.I: Liquid Biopsy TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.194.I: Liquid Biopsy TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.194.I: Liquid Biopsy TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.194.I: Liquid Biopsy TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.194.I: Liquid Biopsy TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.196.A: Long QT Syndrome Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.196.A: Long QT Syndrome TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.196.A: Long QT Syndrome TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.196.A: Long QT Syndrome TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.196.A: Long QT Syndrome TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.196.A: Long QT Syndrome TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.197.A: Lynch Syndrome Genetic TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.197.A: Lynch Syndrome Genetic TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.197.A: Lynch Syndrome Genetic TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.197.A: Lynch Syndrome Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.197.A: Lynch Syndrome Genetic TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.197.A: Lynch Syndrome Genetic TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.199.A: Lynch Syndrome Tumor Screening - Second TierEffective 01/01/2023 - 06/30/2023
-
MOL.TS.199.A: Lynch Syndrome Tumor Screening - Second TierEffective 07/01/2023 - 12/31/2023
-
MOL.TS.199.A: Lynch Syndrome Tumor Screening - Second TierEffective 07/01/2021 - 12/31/2021
-
MOL.TS.199.A: Lynch Syndrome Tumor Screening - Second TierEffective 07/01/2022 - 12/31/2022
-
MOL.TS.199.A: Lynch Syndrome Tumor Screening - Second TierEffective 01/01/2022 - 06/30/2022
-
MOL.TS.199.A: Lynch Syndrome Tumor Screening - Second-TierEffective 01/01/2024 - 06/30/2024
-
MOL.TS.200.A: Mammaprint 70-Gene Breast Cancer Recurrence AssayEffective 01/01/2023 - 06/30/2023
-
MOL.TS.200.A: Mammaprint 70-Gene Breast Cancer Recurrence AssayEffective 01/01/2022 - 06/30/2022
-
MOL.TS.200.A: Mammaprint 70-Gene Breast Cancer Recurrence AssayEffective 07/01/2021 - 12/31/2021
-
MOL.TS.200.A: Mammaprint 70-Gene Breast Cancer Recurrence AssayEffective 07/01/2023 - 12/31/2023
-
MOL.TS.200.A: Mammaprint 70-Gene Breast Cancer Recurrence AssayEffective 01/01/2024 - 06/30/2024
-
MOL.TS.200.A: Mammaprint 70-Gene Breast Cancer Recurrence AssayEffective 07/01/2022 - 12/31/2022
-
MOL.TS.201.A: Mammostrat Breast Cancer Recurrence AssayEffective 07/01/2021 - 12/31/2021
-
MOL.TS.202.A: Marfan Syndrome Genetic TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.202.A: Marfan Syndrome Genetic TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.202.A: Marfan Syndrome Genetic TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.202.A: Marfan Syndrome Genetic TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.202.A: Marfan Syndrome Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.202.A: Marfan Syndrome Genetic TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.203.A: MGMT Testing for Malignant Glioma Alkylating Agent ResponseEffective 07/01/2021 - 12/31/2021
-
MOL.TS.205.A: MTHFR Variant Analysis for HyperhomocysteinemiaEffective 07/01/2021 - 12/31/2021
-
MOL.TS.206.A: MUTYH Associated Polyposis TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.206.A: MUTYH Associated Polyposis TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.206.A: MUTYH Associated Polyposis TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.206.A: MUTYH Associated Polyposis TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.206.A: MUTYH Associated Polyposis TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.206.A: MUTYH-Associated Polyposis Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.207.A: Niemann-Pick Disease Types A and B Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.207.A: Niemann-Pick Disease Types A and B TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.207.A: Niemann-Pick Disease Types A and B TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.207.A: Niemann-Pick Disease Types A and B TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.207.A: Niemann-Pick Disease Types A and B TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.207.A: Niemann-Pick Disease Types A and B TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.208 A: Niemann-Pick Type C TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.208 A: Niemann-Pick Type C TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.208 A: Niemann-Pick Type C TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.208 A: Niemann-Pick Type C TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.208 A: Niemann-Pick Type C TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.208.A: Niemann-Pick Disease Type C Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.209.A: Non-Invasive Prenatal ScreeningEffective 01/01/2023 - 06/30/2023
-
MOL.TS.209.A: Non-Invasive Prenatal ScreeningEffective 07/01/2021 - 12/31/2021
-
MOL.TS.209.A: Non-Invasive Prenatal ScreeningEffective 07/01/2022 - 12/31/2022
-
MOL.TS.209.A: Non-Invasive Prenatal ScreeningEffective 07/01/2023 - 12/31/2023
-
MOL.TS.209.A: Non-Invasive Prenatal ScreeningEffective 01/01/2024 - 06/30/2024
-
MOL.TS.209.A: Non-Invasive Prenatal ScreeningEffective 01/01/2022 - 06/30/2022
-
MOL.TS.211.I: Oncotype DX for Breast Cancer PrognosisEffective 07/01/2021 - 12/31/2021
-
MOL.TS.211.I: Oncotype DX for Breast Cancer PrognosisEffective 01/01/2023 - 06/30/2023
-
MOL.TS.211.I: Oncotype DX for Breast Cancer PrognosisEffective 07/01/2023 - 12/31/2023
-
MOL.TS.211.I: Oncotype DX for Breast Cancer PrognosisEffective 07/01/2022 - 12/31/2022
-
MOL.TS.211.I: Oncotype DX for Breast Cancer PrognosisEffective 01/01/2022 - 06/30/2022
-
MOL.TS.211.I: Oncotype DX for Breast Cancer PrognosisEffective 01/01/2024 - 06/30/2024
-
MOL.TS.213.A: Oncotype DX for Colorectal Cancer Recurrence RiskEffective 01/01/2024 - 06/30/2024
-
MOL.TS.213.A: Oncotype DX for Colorectal Cancer Recurrence RiskEffective 07/01/2021 - 12/31/2021
-
MOL.TS.213.A: Oncotype DX for Colorectal Cancer Recurrence RiskEffective 01/01/2022 - 06/30/2022
-
MOL.TS.213.A: Oncotype DX for Colorectal Cancer Recurrence RiskEffective 07/01/2023 - 12/31/2023
-
MOL.TS.213.A: Oncotype DX for Colorectal Cancer Recurrence RiskEffective 01/01/2023 - 06/30/2023
-
MOL.TS.213.A: Oncotype DX for Colorectal Cancer Recurrence RiskEffective 07/01/2022 - 12/31/2022
-
MOL.TS.215.A: PCA3 Testing for Prostate CancerEffective 01/01/2024 - 06/30/2024
-
MOL.TS.215.A: PCA3 Testing for Prostate CancerEffective 07/01/2024 - 08/31/2024
-
MOL.TS.215.A: PCA3 Testing for Prostate CancerEffective 01/01/2023 - 06/30/2023
-
MOL.TS.215.A: PCA3 Testing for Prostate CancerEffective 01/01/2022 - 06/30/2022
-
MOL.TS.215.A: PCA3 Testing for Prostate CancerEffective 07/01/2023 - 12/31/2023
-
MOL.TS.215.A: PCA3 Testing for Prostate CancerEffective 07/01/2021 - 12/31/2021
-
MOL.TS.215.A: PCA3 Testing for Prostate CancerEffective 07/01/2022 - 12/31/2022
-
MOL.TS.216.A: Peutz-Jeghers Syndrome Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.216.A: Peutz-Jeghers Syndrome TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.216.A: Peutz-Jeghers Syndrome TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.216.A: Peutz-Jeghers Syndrome TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.216.A: Peutz-Jeghers Syndrome TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.216.A: Peutz-Jeghers Syndrome TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.217.A: Prader-Willi Syndrome Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.217.A: Prader-Willi Syndrome TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.217.A: Prader-Willi Syndrome TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.217.A: Prader-Willi Syndrome TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.217.A: Prader-Willi Syndrome TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.217.A: Prader-Willi Syndrome TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.222.A: Prosigna Breast Cancer Prognostic Gene Signature AssayEffective 07/01/2021 - 12/31/2021
-
MOL.TS.222.A: Prosigna Breast Cancer Prognostic Gene Signature AssayEffective 07/01/2022 - 12/31/2022
-
MOL.TS.222.A: Prosigna Breast Cancer Prognostic Gene Signature AssayEffective 01/01/2024 - 06/30/2024
-
MOL.TS.222.A: Prosigna Breast Cancer Prognostic Gene Signature AssayEffective 01/01/2022 - 06/30/2022
-
MOL.TS.222.A: Prosigna Breast Cancer Prognostic Gene Signature AssayEffective 01/01/2023 - 06/30/2023
-
MOL.TS.222.A: Prosigna Breast Cancer Prognostic Gene Signature AssayEffective 07/01/2023 - 12/31/2023
-
MOL.TS.223.A: PTEN Hamartoma Tumor Syndromes Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.223.A: PTEN Hamartoma Tumor Syndromes TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.223.A: PTEN Hamartoma Tumor Syndromes TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.223.A: PTEN Hamartoma Tumor Syndromes TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.223.A: PTEN Hamartoma Tumor Syndromes TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.223.A: PTEN Hamartoma Tumor Syndromes TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.224.A: Rett Syndrome Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.224.A: Rett Syndrome TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.224.A: Rett Syndrome TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.224.A: Rett Syndrome TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.224.A: Rett Syndrome TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.224.A: Rett Syndrome TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.225.A: Spinal Muscular Atrophy Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.225.A: Spinal Muscular Atrophy TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.225.A: Spinal Muscular Atrophy TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.225.A: Spinal Muscular Atrophy TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.225.A: Spinal Muscular Atrophy TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.225.A: Spinal Muscular Atrophy TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.226.A: Tay Sachs Disease TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.226.A: Tay Sachs Disease TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.226.A: Tay Sachs Disease TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.226.A: Tay Sachs Disease TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.226.A: Tay Sachs Disease TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.226.A: Tay-Sachs Disease Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.227.A: Thoracic Aortic Aneurysms and Dissections (TAAD) Panel Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.227.A: Thoracic Aortic Aneurysms and Dissections TAAD Panel TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.227.A: Thoracic Aortic Aneurysms and Dissections TAAD Panel TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.227.A: Thoracic Aortic Aneurysms and Dissections TAAD Panel TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.227.A: Thoracic Aortic Aneurysms and Dissections TAAD Panel TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.227.A: Thoracic Aortic Aneurysms and Dissections TAAD Panel TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.228.A: Tissue of Origin Testing for Cancer of Unknown PrimaryEffective 07/01/2021 - 12/31/2021
-
MOL.TS.228.A: Tissue of Origin Testing for Cancer of Unknown PrimaryEffective 01/01/2022 - 06/30/2022
-
MOL.TS.228.A: Tissue of Origin Testing for Cancer of Unknown PrimaryEffective 07/01/2023 - 12/31/2023
-
MOL.TS.228.A: Tissue of Origin Testing for Cancer of Unknown PrimaryEffective 07/01/2022 - 12/31/2022
-
MOL.TS.228.A: Tissue of Origin Testing for Cancer of Unknown PrimaryEffective 01/01/2023 - 06/03/2023
-
MOL.TS.228.A: Tissue of Origin Testing for Cancer of Unknown PrimaryEffective 01/01/2024 - 06/30/2024
-
MOL.TS.230.A: Somatic Mutation Testing-Solid TumorsEffective 07/01/2021 - 12/31/2021
-
MOL.TS.230.A: Somatic Mutation Testing-Solid TumorsEffective 01/01/2023 - 06/30/2023
-
MOL.TS.230.A: Somatic Mutation Testing-Solid TumorsEffective 07/01/2022 - 12/31/2022
-
MOL.TS.230.A: Somatic Mutation Testing-Solid TumorsEffective 01/01/2022 - 06/30/2022
-
MOL.TS.230.A: Somatic Mutation Testing-Solid TumorsEffective 01/01/2024 - 06/30/2024
-
MOL.TS.230.A: Somatic Mutation Testing-Solid TumorsEffective 07/01/2023 - 12/31/2023
-
MOL.TS.233.A: Von Hippel Lindau Disease TestingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.233.A: Von Hippel Lindau Disease TestingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.233.A: Von Hippel Lindau Disease TestingEffective 07/01/2023 - 12/31/2023
-
MOL.TS.233.A: Von Hippel Lindau Disease TestingEffective 07/01/2022 - 12/31/2022
-
MOL.TS.233.A: Von Hippel Lindau Disease TestingEffective 01/01/2023 - 06/30/2023
-
MOL.TS.233.A: Von Hippel-Lindau Disease Genetic TestingEffective 01/01/2024 - 06/30/2024
-
MOL.TS.234.A: EndoPredict for Breast Cancer PrognosisEffective 01/01/2024 - 06/30/2024
-
MOL.TS.234.A: EndoPredict for Breast Cancer PrognosisEffective 07/01/2023 - 12/31/2023
-
MOL.TS.234.A: EndoPredict for Breast Cancer PrognosisEffective 07/01/2021 - 12/31/2021
-
MOL.TS.234.A: EndoPredict for Breast Cancer PrognosisEffective 01/01/2023 - 06/30/2023
-
MOL.TS.234.A: EndoPredict for Breast Cancer PrognosisEffective 01/01/2022 - 06/30/2022
-
MOL.TS.234.A: EndoPredict for Breast Cancer PrognosisEffective 07/01/2022 - 12/31/2022
-
MOL.TS.235.A: Exome SequencingEffective 01/01/2022 - 06/30/2022
-
MOL.TS.235.A: Exome SequencingEffective 07/01/2021 - 12/31/2021
-
MOL.TS.235.A: Exome SequencingEffective 07/01/2022 - 12/31/2022