Skip to Main Content

Print | Bookmark | Email | Font Size: + |

September 30, 2015 - Updated 05.10.21

Laboratory Service Provider Alert (CM00004) V2

Reference: Molecular Diagnostic Tests (MDT) Local Coverage Determination (LCD) #L35394External Website effective November 3, 2015; #L36021External Website, effective October 1, 2015.

All laboratory service providers in Jurisdiction 15 that submit claims for services on a CMS-1500 Claim Form or electronically on a 5010-837P must enter the MolDX identifier on every claim line submitted for a MolDX test. See Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT) A56973 article for list of MolDX tests.

Providers should register tests and receive test identifiers required to submit claims as soon as possible. Effective November 9, 2015, claims submitted without the required test ID entered in the SV101-7 or notepad field will be rejected as an invalid claim. If more than one service is submitted on a claim, only the MolDX tests without the required ID will be rejected.

To avoid unnecessary rejections, please reference MolDX Test Registration and follow the steps to access the MolDX registry.


26 Century Blvd Ste ST610, Nashville, TN 37214-3685 © CGS Administrators, LLC. All Rights Reserved