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

2020 (July)

Physician Fee Schedule


OPPS Fee Schedule


ASC Fee Schedule


APC Codes


DRG Codes


ASP Drug Pricing Files

April 2021
January 2021

CMS Transmittals

Next Webinar 05/19/2021:
How to Structure Financial Arrangements with Customers

CodeMap® LCD-L36374


Printer Friendly Version

LCD for MolDX: Genetic Testing for Lynch Syndrome (L36374)
See related Articles:
A54996-Billing and Coding: MolDX: Genetic Testing for Lynch Syndrome
A56104-Billing and Coding: MolDX: Microsatellite Instability-High (MSI-H) and Mismatch Repair Deficient (dMMR) Biomarker Billing and Coding Guidelines for Patients with Unresectable or Metastatic Solid Tumors
A56362-Response to Comments: MolDX: Genetic Testing for Lynch Syndrome

Contractor Information

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

Contractor Number: 02401

Contractor Type: MAC A

LCD Information

LCD ID Number: L36374 Status: A-Approved

LCD Title: MolDX: Genetic Testing for Lynch Syndrome

Geographic Jurisdiction: Washington Other Jurisdictions

Original Determination Effective Date: 06/01/2016

Original Determination Ending Date:

Revision Effective Date: 01/07/2021

Revision End Date:

CMS National Coverage Policy:

Title XVIII of the Social Security Act, §1862(a)(1)(A) Allows coverage and payment for only those services that are considered to be reasonable and necessary.

42 CFR 410.32(a) Order diagnostic tests.

42 CFR 411.5(k)(1) Particular Services excluded from coverage.

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.

05/10/2021 10:45:56

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