150 North Wacker Drive
Suite 1870
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax

User Information

Create New Account

Lost Password


Quick Links

LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule


Physician Fee Schedule


OPPS Fee Schedule


ASC Fee Schedule


APC Codes


DRG Codes


ASP Drug Pricing Files

January 2023
October 2022

CMS Transmittals

In Memoriam: Gregory B. Root

CodeMap® LCD-L36335


Printer Friendly Version

LCD for MolDX: NRAS Genetic Testing (L36335)
See related Articles:
A55048-Response to Comments: MolDX: NRAS Genetic Testing
A57486-Billing and Coding: MolDX: NRAS Genetic Testing

Contractor Information

Contractor Name: Noridian Healthcare Solutions, LLC - Full list of policies of this Medicare Contractor

Contractor Number: 01212

Contractor Type: MAC B

LCD Information

LCD ID Number: L36335 Status: A-Approved

LCD Title: MolDX: NRAS Genetic Testing

Geographic Jurisdiction: American Samoa, Guam, Hawaii, Northern Mariana Islands Other Jurisdictions

Original Determination Effective Date: 07/05/2016

Original Determination Ending Date:

Revision Effective Date: 10/07/2021

Revision End Date:

CMS National Coverage Policy:

Title XVIII of the Social Security Act (SSA), §1862(a)(1)(A) states that no Medicare payment shall be made for items or services that are not reasonable and necessary

Title XVIII of the Social Security Act, §1862(a)(1)(D) Allows coverage and payment for clinical care items and services provided with the concurrence of the Secretary and with respect to research and experimentation conducted by, or under contract with, the Medicare Payment Advisory Commission or the Secretary, which are not reasonable and necessary to carry out the purposes of section

42 CFR 410.32(a) States diagnostic tests must be ordered by the physician treating the beneficiary

CMS Internet-Only Manual, Pub.100-02, Medicare Benefit Policy Manual, Chapter 15, §§ 80.6, Requirements for Ordering and Following Orders for Diagnostic Tests

Sorry, you need to login or register to view additional sections of this Medicare policy.

All information on this web site is compiled directly from information obtained from the Center for Medicare and Medicaid Services (CMS) and from its Contractors.

CodeMap® has made every reasonable effort to ensure the accuracy of the information contained on this web site. However, the ultimate responsibility for correct coding and claims submission lies with the provider of services. CodeMap® makes no representation, warranty, or guarantee that this compilation of Medicare information is error-free or that the use of this information will result in Medicare coverage and subsequent payment of claims. Final coverage and payment of claims are subject to many factors exclusively controlled by CMS and its contractors.

No part of this web page or data displayed may be redistibuted or used without the express written consent of Wheaton Partners, LLC.

03/27/2023 06:27:09

CodeMap® is a Registered Trademark of Wheaton Partners, LLC.