interpretation_requirement
Submitted arguments
{
"code": "81479"
}Native result and verdict
{
"does_not_license": {
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},
"kind": "served",
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"cpt": "CPT is copyright the American Medical Association. Served under a distribution licence.",
"linkback": "https://hammer.ai/coverage-intelligence",
"terms": "https://hammer.ai/terms"
},
"payload": {
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"contractors_publishing_a_matrix": [
"First Coast Service Options, Inc.",
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],
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"source": "CMS Medicare Coverage Database Articles export, vintage 2026-08-20",
"source_terms": "CMS cleared this use on 2026-08-22 on condition the source is linked back and the service is not paid. Every record carries source_url for that reason.",
"this_code_was_searched": true,
"vintage": "2026-08-20"
},
"how_to_read_this": "Each record is one contractor's article. A requirement binds that contractor and no other, and the IDTF matrix governs Independent Diagnostic Testing Facilities rather than physician offices in general. A record with no `credentialing` names the code without stating who may furnish it.",
"receipt": "r36",
"requirements": [
{
"article_id": "52986",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Novitas Solutions, Inc."
],
"effective_date": "2025-04-24",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52986",
"status": "A",
"title": "Billing and Coding: Biomarkers for Oncology"
},
{
"article_id": "53104",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2022-01-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53104",
"status": "A",
"title": "Billing and Coding: MolDX: MammaPrint"
},
{
"article_id": "53480",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2019-10-24",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53480",
"status": "A",
"title": "Billing and Coding: MolDX: HTTLPR Gene Testing"
},
{
"article_id": "53531",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2024-09-19",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53531",
"status": "A",
"title": "Billing and Coding: MolDX: BCR-ABL"
},
{
"article_id": "53538",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2019-10-24",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53538",
"status": "A",
"title": "Billing and Coding: MolDX: SULT4A1 Genetic Testing"
},
{
"article_id": "54194",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2023-11-22",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54194",
"status": "A",
"title": "Billing and Coding: MolDX: MammaPrint"
},
{
"article_id": "54257",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2023-11-16",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54257",
"status": "A",
"title": "Billing and Coding: MolDX: BluePrint® Test"
},
{
"article_id": "54269",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2023-11-22",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54269",
"status": "A",
"title": "Billing and Coding: MolDX: HTTLPR Gene Testing"
},
{
"article_id": "54283",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2023-11-22",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54283",
"status": "A",
"title": "Billing and Coding: MolDX: SULT4A1 Genetic Testing"
},
{
"article_id": "54338",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2025-10-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54338",
"status": "A",
"title": "Billing and Coding: MolDX: Germline testing for use of PARP inhibitors"
},
{
"article_id": "54445",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-02-19",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54445",
"status": "A",
"title": "Billing and Coding: MolDX: MammaPrint"
},
{
"article_id": "54447",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2022-01-01",
"end_date": "2026-02-19",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54447",
"status": "R",
"title": "Billing and Coding: MolDX: MammaPrint"
},
{
"article_id": "54472",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2022-07-14",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54472",
"status": "A",
"title": "Billing and Coding: MolDX: FDA-Approved KRAS Tests"
},
{
"article_id": "54498",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-02-19",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54498",
"status": "A",
"title": "Billing and Coding: MolDX: FDA-Approved KRAS Tests"
},
{
"article_id": "54500",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2022-07-14",
"end_date": "2026-02-19",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54500",
"status": "R",
"title": "Billing and Coding: MolDX: FDA-Approved KRAS Tests"
},
{
"article_id": "54686",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2024-09-19",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54686",
"status": "A",
"title": "Billing and Coding: MolDX: BCR-ABL"
},
{
"article_id": "54688",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2023-11-16",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54688",
"status": "A",
"title": "Billing and Coding: MolDX: FDA-Approved KRAS Tests"
},
{
"article_id": "54689",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2023-11-16",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54689",
"status": "A",
"title": "Billing and Coding: Germline testing for use of PARP inhibitors"
},
{
"article_id": "54830",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2024-04-04",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54830",
"status": "A",
"title": "Billing and Coding: MolDX: Short Tandem Repeat (STR) Markers and Chimerism (CPT® codes 81265-81268)"
},
{
"article_id": "54832",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2024-04-04",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54832",
"status": "A",
"title": "Billing and Coding: MolDX: Short Tandem Repeat (STR) Markers and Chimerism (CPT® codes 81265-81268)"
},
{
"article_id": "55116",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2021-12-17",
"end_date": "2026-02-19",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55116",
"status": "R",
"title": "Billing and Coding: MolDX: BluePrint® Test"
},
{
"article_id": "55162",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2026-07-30",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55162",
"status": "A",
"title": "Billing and Coding: MolDX: FDA-Approved KRAS Tests"
},
{
"article_id": "55169",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2025-10-30",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55169",
"status": "A",
"title": "Billing and Coding: MolDX: HTTLPR Gene Testing"
},
{
"article_id": "55175",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2026-01-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55175",
"status": "A",
"title": "Billing and Coding: MolDX: MammaPrint®"
},
{
"article_id": "55210",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2026-01-29",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55210",
"status": "A",
"title": "Billing and Coding: MolDX: SULT4A1 Genetic Testing"
},
{
"article_id": "55224",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2026-06-25",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55224",
"status": "A",
"title": "Billing and Coding: MolDX: Germline testing for use of PARP inhibitors"
},
{
"article_id": "55233",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2024-09-19",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55233",
"status": "A",
"title": "Billing and Coding: MolDx: BCR-ABL"
},
{
"article_id": "55264",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-02-19",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55264",
"status": "A",
"title": "Billing and Coding: MolDX: HTTLPR Gene Testing"
},
{
"article_id": "55265",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2021-12-17",
"end_date": "2026-02-19",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55265",
"status": "R",
"title": "Billing and Coding: MolDX: HTTLPR Gene Testing"
},
{
"article_id": "55294",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-02-19",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55294",
"status": "A",
"title": "Billing and Coding: MolDX: Germline testing for use of PARP inhibitors"
},
{
"article_id": "55295",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2025-10-01",
"end_date": "2026-02-19",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55295",
"status": "R",
"title": "Billing and Coding: MolDX: Germline testing for use of PARP inhibitors"
},
{
"article_id": "55595",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-02-19",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55595",
"status": "A",
"title": "Billing and Coding: MolDX: BCR-ABL"
},
{
"article_id": "55596",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-02-19",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55596",
"status": "A",
"title": "Billing and Coding: MolDX: SULT4A1 Genetic Testing"
},
{
"article_id": "55600",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2024-09-19",
"end_date": "2026-02-19",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55600",
"status": "R",
"title": "Billing and Coding: MolDX: BCR-ABL"
},
{
"article_id": "55601",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2021-12-17",
"end_date": "2026-02-19",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55601",
"status": "R",
"title": "Billing and Coding: MolDX: SULT4A1 Genetic Testing"
},
{
"article_id": "55621",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2026-04-30",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55621",
"status": "A",
"title": "Billing and Coding: MolDX: Short Tandem Repeat (STR) Markers and Chimerism (CPT® codes 81265-81268)"
},
{
"article_id": "56072",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2024-01-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56072",
"status": "A",
"title": "Billing and Coding: MolDX: Microsatellite Instability-High (MSI-H) and Mismatch Repair Deficient (dMMR) Biomarker for Patients with Unresectable or Metastatic Solid Tumors"
},
{
"article_id": "56103",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-02-19",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56103",
"status": "A",
"title": "Billing and Coding: MolDX: Microsatellite Instability-High (MSI-H) and Mismatch Repair Deficient (dMMR) Biomarker for Patients with Unresectable or Metastatic Solid Tumors"
},
{
"article_id": "56104",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2024-01-01",
"end_date": "2026-02-19",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56104",
"status": "R",
"title": "Billing and Coding: MolDX: Microsatellite Instability-High (MSI-H) and Mismatch Repair Deficient (dMMR) Biomarker for Patients with Unresectable or Metastatic Solid Tumors"
},
{
"article_id": "56106",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2024-01-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56106",
"status": "A",
"title": "Billing and Coding: MolDX: Microsatellite Instability-High (MSI-H) and Mismatch Repair Deficient (dMMR) Biomarker for Patients with Unresectable or Metastatic Solid Tumors"
},
{
"article_id": "56199",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wellpoint Federal"
],
"effective_date": "2026-07-15",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56199",
"status": "A",
"title": "Billing and Coding: Molecular Pathology Procedures"
},
{
"article_id": "56333",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2023-07-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56333",
"status": "A",
"title": "Billing and Coding: MolDX: Inivata™, InVisionFirst®, Liquid Biopsy for Patients with Lung Cancer"
},
{
"article_id": "56609",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wellpoint Federal"
],
"effective_date": "2026-04-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56609",
"status": "A",
"title": "Billing and Coding: Biomarker Testing for Prostate Cancer Diagnosis"
},
{
"article_id": "56636",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2025-10-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56636",
"status": "A",
"title": "Billing and Coding: MolDX: Melanoma Risk Stratification Molecular Testing"
},
{
"article_id": "56853",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2026-07-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56853",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT)"
},
{
"article_id": "56924",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2023-07-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56924",
"status": "A",
"title": "Billing and Coding: MolDX: Inivata™, InVisionFirst®, Liquid Biopsy for Patients with Lung Cancer"
},
{
"article_id": "56933",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2022-10-20",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56933",
"status": "A",
"title": "Billing and Coding: MolDX: Prometheus® IBD sgi Diagnostic® Policy"
},
{
"article_id": "56940",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2025-02-13",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56940",
"status": "A",
"title": "Billing and Coding: MolDX: Prometheus IBD sgi Diagnostic Policy"
},
{
"article_id": "56957",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2021-12-30",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56957",
"status": "A",
"title": "Billing and Coding: ProMark® Risk Score"
},
{
"article_id": "56961",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2025-10-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56961",
"status": "A",
"title": "Billing and Coding: MolDX: Melanoma Risk Stratification Molecular Testing"
},
{
"article_id": "56962",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2021-10-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56962",
"status": "A",
"title": "Billing and Coding: MolDX: NRAS Genetic Testing"
},
{
"article_id": "56973",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2026-07-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56973",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT)"
},
{
"article_id": "56982",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2025-06-19",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56982",
"status": "A",
"title": "Billing and Coding: MolDX: Inivata™, InVisionFirst®, Liquid Biopsy for Patients with Lung Cancer"
},
{
"article_id": "56998",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2023-11-22",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56998",
"status": "A",
"title": "Billing and Coding: MolDX: NRAS Genetic Testing"
},
{
"article_id": "57034",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2024-11-14",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57034",
"status": "A",
"title": "Billing and Coding: ProMark® Risk Score"
},
{
"article_id": "57100",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2026-07-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57100",
"status": "A",
"title": "Billing and Coding: MolDX: Repeat Germline Testing"
},
{
"article_id": "57112",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2022-02-24",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57112",
"status": "A",
"title": "Billing and Coding: MolDX: Predictive Classifiers for Early Stage Non-Small Cell Lung Cancer"
},
{
"article_id": "57141",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2026-07-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57141",
"status": "A",
"title": "Billing and Coding: MolDX: Repeat Germline Testing"
},
{
"article_id": "57143",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57143",
"status": "P",
"title": "Billing and Coding: MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Favorable Intermediate Risk Disease"
},
{
"article_id": "57146",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57146",
"status": "P",
"title": "Billing and Coding: MolDX: Signatera and Minimal Residual Disease Testing for Colorectal Cancer"
},
{
"article_id": "57152",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57152",
"status": "P",
"title": "Billing and Coding: MolDX: SelectMDx for Prostate Cancer"
},
{
"article_id": "57165",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2025-10-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57165",
"status": "A",
"title": "Billing and Coding: MolDX: Melanoma Risk Stratification Molecular Testing"
},
{
"article_id": "57268",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-01-22",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57268",
"status": "A",
"title": "Billing and Coding: MolDX: Melanoma Risk Stratification Molecular Testing"
},
{
"article_id": "57290",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2025-10-01",
"end_date": "2026-01-22",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57290",
"status": "R",
"title": "Billing and Coding: MolDX: Melanoma Risk Stratification Molecular Testing"
},
{
"article_id": "57329",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-02-05",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57329",
"status": "A",
"title": "Billing and Coding: MolDX: Predictive Classifiers for Early Stage Non-Small Cell Lung Cancer"
},
{
"article_id": "57330",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2022-02-24",
"end_date": "2026-02-05",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57330",
"status": "R",
"title": "Billing and Coding: MolDX: Predictive Classifiers for Early Stage Non-Small Cell Lung Cancer"
},
{
"article_id": "57331",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-07-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57331",
"status": "A",
"title": "Billing and Coding: MolDX: Repeat Germline Testing"
},
{
"article_id": "57332",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-01-01",
"end_date": "2026-02-05",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57332",
"status": "R",
"title": "Billing and Coding: MolDX: Repeat Germline Testing"
},
{
"article_id": "57384",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-07-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57384",
"status": "A",
"title": "Billing and Coding: MolDX: Pharmacogenomics Testing"
},
{
"article_id": "57385",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-02-05",
"end_date": "2026-03-05",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57385",
"status": "R",
"title": "Billing and Coding: MolDX: Pharmacogenomics Testing"
},
{
"article_id": "57449",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"First Coast Service Options, Inc."
],
"effective_date": "2025-10-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57449",
"status": "A",
"title": "Billing and Coding: BRCA1 and BRCA2 Genetic Testing"
},
{
"article_id": "57451",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"First Coast Service Options, Inc."
],
"effective_date": "2024-01-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57451",
"status": "A",
"title": "Billing and Coding: Molecular Pathology Procedures"
},
{
"article_id": "57486",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-02-05",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57486",
"status": "A",
"title": "Billing and Coding: MolDX: NRAS Genetic Testing"
},
{
"article_id": "57487",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2021-10-01",
"end_date": "2026-02-05",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57487",
"status": "R",
"title": "Billing and Coding: MolDX: NRAS Genetic Testing"
},
{
"article_id": "57515",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2025-10-23",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57515",
"status": "A",
"title": "Billing and Coding: ProMark® Risk Score"
},
{
"article_id": "57516",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-02-05",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57516",
"status": "A",
"title": "Billing and Coding: MolDX: Prometheus® IBD sgi Diagnostic® Policy"
},
{
"article_id": "57517",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2022-10-20",
"end_date": "2026-02-05",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57517",
"status": "R",
"title": "Billing and Coding: MolDX: Prometheus® IBD sgi Diagnostic® Policy"
},
{
"article_id": "57526",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-07-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57526",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT)"
},
{
"article_id": "57527",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-01-01",
"end_date": "2026-02-05",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57527",
"status": "R",
"title": "Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT)"
},
{
"article_id": "57581",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2023-07-27",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57581",
"status": "A",
"title": "Billing and Coding: MolDX: NRAS Genetic Testing"
},
{
"article_id": "57587",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2023-12-28",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57587",
"status": "A",
"title": "Billing and Coding: ProMark® Risk Score"
},
{
"article_id": "57588",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2025-10-30",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57588",
"status": "A",
"title": "Billing and Coding: MolDX: Prometheus® IBD sgi Diagnostic® Policy"
},
{
"article_id": "57609",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2021-12-30",
"end_date": "2025-10-23",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57609",
"status": "R",
"title": "Billing and Coding: ProMark® Risk Score"
},
{
"article_id": "57664",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-01-22",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57664",
"status": "A",
"title": "Billing and Coding: MolDX: Inivata™, InVisionFirst®, Liquid Biopsy for Patients with Lung Cancer"
},
{
"article_id": "57665",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2023-07-01",
"end_date": "2026-01-22",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57665",
"status": "R",
"title": "Billing and Coding: MolDX: Inivata™, InVisionFirst®, Liquid Biopsy for Patients with Lung Cancer"
},
{
"article_id": "57772",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2026-07-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57772",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT)"
},
{
"article_id": "57831",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2026-06-04",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57831",
"status": "A",
"title": "Billing and Coding: MolDX: Next-Generation Sequencing for Solid Tumors"
},
{
"article_id": "57837",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2026-05-14",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57837",
"status": "A",
"title": "Billing and Coding: MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies"
},
{
"article_id": "57842",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-02-19",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57842",
"status": "A",
"title": "Billing and Coding: MolDX: Short Tandem Repeat (STR) Markers and Chimerism (CPT® codes 81265-81268)"
},
{
"article_id": "57843",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2024-04-04",
"end_date": "2026-02-19",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57843",
"status": "R",
"title": "Billing and Coding: MolDX: Short Tandem Repeat (STR) Markers and Chimerism (CPT® codes 81265-81268)"
},
{
"article_id": "57858",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2026-06-04",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57858",
"status": "A",
"title": "Billing and Coding: MolDX: Next-Generation Sequencing for Solid Tumors"
},
{
"article_id": "57867",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2025-07-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57867",
"status": "A",
"title": "Billing and Coding: MolDX: Plasma-Based Genomic Profiling in Solid Tumors"
},
{
"article_id": "57870",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2025-04-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57870",
"status": "A",
"title": "Billing and Coding: MolDX: Next-Generation Sequencing for Solid Tumors"
},
{
"article_id": "57873",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2026-05-14",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57873",
"status": "A",
"title": "Billing and Coding: MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies"
},
{
"article_id": "57878",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2026-05-14",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57878",
"status": "A",
"title": "Billing and Coding: MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies"
},
{
"article_id": "57891",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-05-14",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57891",
"status": "A",
"title": "Billing and Coding: MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies"
},
{
"article_id": "57892",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-01-22",
"end_date": "2026-02-05",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57892",
"status": "R",
"title": "Billing and Coding: MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies"
},
{
"article_id": "57901",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-06-04",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57901",
"status": "A",
"title": "Billing and Coding: MolDX: Next-Generation Sequencing for Solid Tumors"
},
{
"article_id": "57905",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2025-04-01",
"end_date": "2026-02-05",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57905",
"status": "R",
"title": "Billing and Coding: MolDX: Next-Generation Sequencing for Solid Tumors"
},
{
"article_id": "57917",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2025-07-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57917",
"status": "A",
"title": "Billing and Coding: MolDX: Plasma-Based Genomic Profiling in Solid Tumors"
},
{
"article_id": "57936",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2025-07-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57936",
"status": "A",
"title": "Billing and Coding: MolDX: Plasma-Based Genomic Profiling in Solid Tumors"
},
{
"article_id": "58017",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2026-07-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58017",
"status": "A",
"title": "Billing and Coding: MolDX: Repeat Germline Testing"
},
{
"article_id": "58019",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2026-01-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58019",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Testing for Solid Organ Allograft Rejection"
},
{
"article_id": "58021",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2022-06-02",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58021",
"status": "A",
"title": "Billing and Coding: MolDX: Phenotypic Biomarker Detection from Circulating Tumor Cells"
},
{
"article_id": "58028",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2024-01-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58028",
"status": "A",
"title": "Billing and Coding: MolDX: Prognostic and Predictive Molecular Classifiers for Bladder Cancer"
},
{
"article_id": "58031",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2022-02-24",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58031",
"status": "A",
"title": "Billing and Coding: MolDX: Predictive Classifiers for Early Stage Non-Small Cell Lung Cancer"
},
{
"article_id": "58038",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2023-11-16",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58038",
"status": "A",
"title": "Billing and Coding: MolDX: Predictive Classifiers for Early Stage Non-Small Cell Lung Cancer"
},
{
"article_id": "58061",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2025-07-03",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58061",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Testing for Solid Organ Allograft Rejection"
},
{
"article_id": "58063",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2023-11-16",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58063",
"status": "A",
"title": "Billing and Coding: MolDX: Phenotypic Biomarker Detection from Circulating Tumor Cells"
},
{
"article_id": "58065",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2024-01-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58065",
"status": "A",
"title": "Billing and Coding: MolDX: Prognostic and Predictive Molecular Classifiers for Bladder Cancer"
},
{
"article_id": "58168",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-01-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58168",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Testing for Solid Organ Allograft Rejection"
},
{
"article_id": "58170",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-01-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58170",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Testing for Solid Organ Allograft Rejection"
},
{
"article_id": "58181",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-02-05",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58181",
"status": "A",
"title": "Billing and Coding: MolDX: Prognostic and Predictive Molecular Classifiers for Bladder Cancer"
},
{
"article_id": "58183",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-02-05",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58183",
"status": "A",
"title": "Billing and Coding: MolDX: Phenotypic Biomarker Detection from Circulating Tumor Cells"
},
{
"article_id": "58185",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2022-06-02",
"end_date": "2026-02-05",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58185",
"status": "R",
"title": "Billing and Coding: MolDX: Phenotypic Biomarker Detection from Circulating Tumor Cells"
},
{
"article_id": "58187",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2024-01-01",
"end_date": "2026-02-05",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58187",
"status": "R",
"title": "Billing and Coding: MolDX: Prognostic and Predictive Molecular Classifiers for Bladder Cancer"
},
{
"article_id": "58205",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2026-05-28",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58205",
"status": "A",
"title": "Billing and Coding: MolDX: Phenotypic Biomarker Detection from Circulating Tumor Cells"
},
{
"article_id": "58207",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2026-01-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58207",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Testing for Solid Organ Allograft Rejection"
},
{
"article_id": "58211",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2024-01-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58211",
"status": "A",
"title": "Billing and Coding: MolDX: Prognostic and Predictive Molecular Classifiers for Bladder Cancer"
},
{
"article_id": "58318",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2026-07-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58318",
"status": "A",
"title": "Billing and Coding: MolDX: Pharmacogenomics Testing"
},
{
"article_id": "58324",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2025-11-13",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58324",
"status": "A",
"title": "Billing and Coding: MolDX: Pharmacogenomics Testing"
},
{
"article_id": "58376",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2026-08-06",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58376",
"status": "A",
"title": "Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumor Cancers"
},
{
"article_id": "58395",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2026-07-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58395",
"status": "A",
"title": "Billing and Coding: MolDX: Pharmacogenomics Testing"
},
{
"article_id": "58434",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2026-03-12",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58434",
"status": "A",
"title": "Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumor Cancers"
},
{
"article_id": "58454",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-08-06",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58454",
"status": "A",
"title": "Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumor Cancers"
},
{
"article_id": "58456",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-01-01",
"end_date": "2026-02-05",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58456",
"status": "R",
"title": "Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumor Cancers"
},
{
"article_id": "58468",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2026-08-06",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58468",
"status": "A",
"title": "Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumor Cancers"
},
{
"article_id": "58652",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2026-08-06",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58652",
"status": "A",
"title": "Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer"
},
{
"article_id": "58679",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-08-13",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58679",
"status": "A",
"title": "Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer"
},
{
"article_id": "58681",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-01-01",
"end_date": "2026-02-05",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58681",
"status": "R",
"title": "Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer"
},
{
"article_id": "58700",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2026-06-25",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58700",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Biomarkers to Risk-Stratify Patients at Increased Risk for Prostate Cancer"
},
{
"article_id": "58713",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2026-06-25",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58713",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Biomarkers to Risk-Stratify Patients at Increased Risk for Prostate Cancer"
},
{
"article_id": "58718",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-06-25",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58718",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Biomarkers to Risk-Stratify Patients at Increased Risk for Prostate Cancer"
},
{
"article_id": "58724",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2025-01-23",
"end_date": "2026-01-22",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58724",
"status": "R",
"title": "Billing and Coding: MolDX: Molecular Biomarkers to Risk-Stratify Patients at Increased Risk for Prostate Cancer"
},
{
"article_id": "58734",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2026-08-06",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58734",
"status": "A",
"title": "Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer"
},
{
"article_id": "58756",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2026-08-06",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58756",
"status": "A",
"title": "Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer"
},
{
"article_id": "58759",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2026-06-25",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58759",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Biomarkers to Risk-Stratify Patients at Increased Risk for Prostate Cancer"
},
{
"article_id": "58801",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Novitas Solutions, Inc."
],
"effective_date": "2026-07-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58801",
"status": "A",
"title": "Billing and Coding: Pharmacogenomics Testing"
},
{
"article_id": "58812",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"First Coast Service Options, Inc."
],
"effective_date": "2026-07-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58812",
"status": "A",
"title": "Billing and Coding: Pharmacogenomics Testing"
},
{
"article_id": "58917",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Novitas Solutions, Inc."
],
"effective_date": "2026-07-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58917",
"status": "A",
"title": "Billing and Coding: Molecular Pathology and Genetic Testing"
},
{
"article_id": "58918",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"First Coast Service Options, Inc."
],
"effective_date": "2026-07-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58918",
"status": "A",
"title": "Billing and Coding: Molecular Pathology and Genetic Testing"
},
{
"article_id": "58973",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-02-05",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58973",
"status": "A",
"title": "Billing and Coding: MolDX: Plasma-Based Genomic Profiling in Solid Tumors"
},
{
"article_id": "58975",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2025-07-01",
"end_date": "2026-02-05",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58975",
"status": "R",
"title": "Billing and Coding: MolDX: Plasma-Based Genomic Profiling in Solid Tumors"
},
{
"article_id": "58988",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2025-04-24",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58988",
"status": "A",
"title": "Billing and Coding: MolDX: Minimal Residual Disease Testing for Hematologic Cancers"
},
{
"article_id": "58996",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-02-05",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58996",
"status": "A",
"title": "Billing and Coding: MolDX: Minimal Residual Disease Testing for Hematologic Cancers"
},
{
"article_id": "58997",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2025-04-24",
"end_date": "2026-02-05",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58997",
"status": "R",
"title": "Billing and Coding: MolDX: Minimal Residual Disease Testing for Hematologic Cancers"
},
{
"article_id": "58998",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2025-04-24",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58998",
"status": "A",
"title": "Billing and Coding: MolDX: Minimal Residual Disease Testing for Hematologic Cancers"
},
{
"article_id": "59004",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2025-04-24",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59004",
"status": "A",
"title": "Billing and Coding: MolDX: Minimal Residual Disease Testing for Hematologic Cancers"
},
{
"article_id": "59015",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59015",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Testing for Detection of Upper Gastrointestinal Metaplasia, Dysplasia, and Neoplasia"
},
{
"article_id": "59032",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-01-22",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59032",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Testing for Detection of Upper Gastrointestinal Metaplasia, Dysplasia, and Neoplasia"
},
{
"article_id": "59034",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2023-05-28",
"end_date": "2026-01-22",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59034",
"status": "R",
"title": "Billing and Coding: MolDX: Molecular Testing for Detection of Upper Gastrointestinal Metaplasia, Dysplasia, and Neoplasia"
},
{
"article_id": "59051",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2025-02-13",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59051",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Testing for Detection of Upper Gastrointestinal Metaplasia, Dysplasia, and Neoplasia"
},
{
"article_id": "59109",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2023-08-06",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59109",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Assays for the Diagnosis of Cutaneous Melanoma"
},
{
"article_id": "59121",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59121",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Testing for Detection of Upper Gastrointestinal Metaplasia, Dysplasia, and Neoplasia"
},
{
"article_id": "59123",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"First Coast Service Options, Inc."
],
"effective_date": "2025-04-24",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59123",
"status": "A",
"title": "Billing and Coding: Genetic Testing in Oncology: Specific Tests"
},
{
"article_id": "59125",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Novitas Solutions, Inc."
],
"effective_date": "2025-04-24",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59125",
"status": "A",
"title": "Billing and Coding: Genetic Testing in Oncology: Specific Tests"
},
{
"article_id": "59163",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2026-01-22",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59163",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Assays for the Diagnosis of Cutaneous Melanoma"
},
{
"article_id": "59179",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-01-22",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59179",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Assays for the Diagnosis of Cutaneous Melanoma"
},
{
"article_id": "59181",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2023-08-06",
"end_date": "2026-01-22",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59181",
"status": "R",
"title": "Billing and Coding: MolDX: Molecular Assays for the Diagnosis of Cutaneous Melanoma"
},
{
"article_id": "59254",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59254",
"status": "P",
"title": "Billing and Coding: MolDX: Prognostic and Predictive Molecular Classifiers for Bladder Cancer"
},
{
"article_id": "59261",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2025-09-25",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59261",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Assays for the Diagnosis of Cutaneous Melanoma"
},
{
"article_id": "59380",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59380",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Biomarker Testing for Risk Stratification of Cutaneous Squamous Cell Carcinoma"
},
{
"article_id": "59386",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-01-22",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59386",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Biomarker Testing for Risk Stratification of Cutaneous Squamous Cell Carcinoma"
},
{
"article_id": "59401",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "",
"end_date": "2026-01-22",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59401",
"status": "R",
"title": "Billing and Coding: MolDX: Molecular Biomarker Testing for Risk Stratification of Cutaneous Squamous Cell Carcinoma"
},
{
"article_id": "59429",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2026-04-20",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59429",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Biomarker Testing for Risk Stratification of Cutaneous Squamous Cell Carcinoma"
},
{
"article_id": "59462",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59462",
"status": "A",
"title": "Billing and Coding: MolDX: Gene Expression Profile Tests for Decision-Making in Castration Resistant and Metastatic Prostate Cancers"
},
{
"article_id": "59470",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59470",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Testing for Risk Stratification of Thyroid Nodules"
},
{
"article_id": "59472",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59472",
"status": "A",
"title": "Billing and Coding: MolDX: Gene Expression Profile Tests for Decision-Making in Castration Resistant and Metastatic Prostate Cancers"
},
{
"article_id": "59474",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2025-05-22",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59474",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Testing for Risk Stratification of Thyroid Nodules"
},
{
"article_id": "59476",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59476",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Biomarkers for Risk Stratification of Indeterminate Pulmonary Nodules Following Bronchoscopy"
},
{
"article_id": "59482",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2025-06-19",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59482",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Biomarkers for Risk Stratification of Indeterminate Pulmonary Nodules Following Bronchoscopy"
},
{
"article_id": "59505",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-01-22",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59505",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Biomarkers for Risk Stratification of Indeterminate Pulmonary Nodules Following Bronchoscopy"
},
{
"article_id": "59507",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "",
"end_date": "2026-01-22",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59507",
"status": "R",
"title": "Billing and Coding: MolDX: Molecular Biomarkers for Risk Stratification of Indeterminate Pulmonary Nodules Following Bronchoscopy"
},
{
"article_id": "59509",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-02-05",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59509",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Testing for Risk Stratification of Thyroid Nodules"
},
{
"article_id": "59511",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "",
"end_date": "2026-02-05",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59511",
"status": "R",
"title": "Billing and Coding: MolDX: Molecular Testing for Risk Stratification of Thyroid Nodules"
},
{
"article_id": "59513",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-01-22",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59513",
"status": "A",
"title": "Billing and Coding: MolDX: Gene Expression Profile Tests for Decision-Making in Castration Resistant and Metastatic Prostate Cancers"
},
{
"article_id": "59515",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "",
"end_date": "2026-01-22",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59515",
"status": "R",
"title": "Billing and Coding: MolDX: Gene Expression Profile Tests for Decision-Making in Castration Resistant and Metastatic Prostate Cancers"
},
{
"article_id": "59549",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2026-06-25",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59549",
"status": "A",
"title": "Billing and Coding: MolDX: Gene Expression Profile Tests for Decision-Making in Castration Resistant and Metastatic Prostate Cancers"
},
{
"article_id": "59551",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2026-06-25",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59551",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Biomarkers for Risk Stratification of Indeterminate Pulmonary Nodules Following Bronchoscopy"
},
{
"article_id": "59560",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2026-04-16",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59560",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Testing for Risk Stratification of Thyroid Nodules"
},
{
"article_id": "59827",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2025-11-20",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59827",
"status": "A",
"title": "Billing and Coding: MolDX: Non-Next Generation Sequencing Tests for the Diagnosis of BCR-ABL Negative Myeloproliferative Neoplasms"
},
{
"article_id": "59835",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-02-05",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59835",
"status": "A",
"title": "Billing and Coding: MolDX: Non-Next Generation Sequencing Tests for the Diagnosis of BCR-ABL Negative Myeloproliferative Neoplasms"
},
{
"article_id": "59837",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2025-11-20",
"end_date": "2026-02-05",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59837",
"status": "R",
"title": "Billing and Coding: MolDX: Non-Next Generation Sequencing Tests for the Diagnosis of BCR-ABL Negative Myeloproliferative Neoplasms"
},
{
"article_id": "59847",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2025-09-25",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59847",
"status": "A",
"title": "Billing and Coding: MolDX: Genetic Testing in Heritable Thoracic Aortic Disease"
},
{
"article_id": "59849",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2025-09-25",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59849",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Testing for Identification and Management of Hereditary Transthyretin Amyloidosis"
},
{
"article_id": "59860",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2025-08-17",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59860",
"status": "A",
"title": "Billing and Coding: MolDX: Genetic Testing in Heritable Thoracic Aortic Disease"
},
{
"article_id": "59862",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2025-09-25",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59862",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Testing for Identification and Management of Hereditary Transthyretin Amyloidosis"
},
{
"article_id": "59868",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-01-22",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59868",
"status": "A",
"title": "Billing and Coding: MolDX: Genetic Testing in Heritable Thoracic Aortic Disease"
},
{
"article_id": "59870",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2025-09-25",
"end_date": "2026-01-22",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59870",
"status": "R",
"title": "Billing and Coding: MolDX: Genetic Testing in Heritable Thoracic Aortic Disease"
},
{
"article_id": "59872",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-02-05",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59872",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Testing for Identification and Management of Hereditary Transthyretin Amyloidosis"
},
{
"article_id": "59874",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2025-09-25",
"end_date": "2026-02-05",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59874",
"status": "R",
"title": "Billing and Coding: MolDX: Molecular Testing for Identification and Management of Hereditary Transthyretin Amyloidosis"
},
{
"article_id": "59892",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59892",
"status": "A",
"title": "Billing and Coding: MolDX: Category B IDE Studies"
},
{
"article_id": "59906",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2025-09-25",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59906",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Testing for Identification and Management of Hereditary Transthyretin Amyloidosis"
},
{
"article_id": "59908",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2025-09-25",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59908",
"status": "A",
"title": "Billing and Coding: MolDX: Genetic Testing in Heritable Thoracic Aortic Disease"
},
{
"article_id": "59915",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wellpoint Federal"
],
"effective_date": "2026-04-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59915",
"status": "A",
"title": "Billing and Coding: Pharmacogenomic Testing"
},
{
"article_id": "59919",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "2025-11-20",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59919",
"status": "A",
"title": "Billing and Coding: MolDX: Non-Next Generation Sequencing Tests for the Diagnosis of BCR-ABL Negative Myeloproliferative Neoplasms"
},
{
"article_id": "59939",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2025-11-20",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59939",
"status": "A",
"title": "Billing and Coding: MolDX: Non-Next Generation Sequencing Tests for the Diagnosis of BCR-ABL Negative Myeloproliferative Neoplasms"
},
{
"article_id": "60145",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60145",
"status": "P",
"title": "Billing and Coding: MolDX: Molecular Testing for Solid Organ Allograft Rejection"
},
{
"article_id": "60146",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60146",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Testing for Solid Organ Allograft Rejection"
},
{
"article_id": "60151",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60151",
"status": "P",
"title": "Billing and Coding: MolDX: Molecular Testing for Solid Organ Allograft Rejection"
},
{
"article_id": "60152",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-08-30",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60152",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Testing for Solid Organ Allograft Rejection"
},
{
"article_id": "60154",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60154",
"status": "P",
"title": "Billing and Coding: MolDX: Molecular Testing for Solid Organ Allograft Rejection"
},
{
"article_id": "60155",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "2026-08-30",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60155",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Testing for Solid Organ Allograft Rejection"
},
{
"article_id": "60160",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60160",
"status": "P",
"title": "Billing and Coding: MolDX: Molecular Testing for Solid Organ Allograft Rejection"
},
{
"article_id": "60161",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60161",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Testing for Solid Organ Allograft Rejection"
},
{
"article_id": "60204",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60204",
"status": "P",
"title": "Billing and Coding: MolDX: Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis"
},
{
"article_id": "60205",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60205",
"status": "A",
"title": "Billing and Coding: MolDX: Biomarker Testing in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis"
},
{
"article_id": "60214",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60214",
"status": "P",
"title": "Billing and Coding: MolDX: Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis"
},
{
"article_id": "60215",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60215",
"status": "A",
"title": "Billing and Coding: MolDX: Biomarker Testing in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis"
},
{
"article_id": "60216",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60216",
"status": "P",
"title": "Billing and Coding: MolDX: Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis"
},
{
"article_id": "60217",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60217",
"status": "A",
"title": "Billing and Coding: MolDX: Biomarker Testing in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis"
},
{
"article_id": "60235",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60235",
"status": "P",
"title": "Billing and Coding: MolDX: Non-Next Generation Sequencing Targeted Molecular Panel Tests for Predictive Testing in Cancer"
},
{
"article_id": "60238",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60238",
"status": "P",
"title": "Billing and Coding: MolDX: Non-Next Generation Sequencing Targeted Molecular Panel Tests for Predictive Testing in Cancer"
},
{
"article_id": "60240",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60240",
"status": "P",
"title": "Billing and Coding: MolDX: Non-Next Generation Sequencing Targeted Molecular Panel Tests for Predictive Testing in Cancer"
},
{
"article_id": "60255",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60255",
"status": "P",
"title": "Billing and Coding: MolDX: Genetic Testing for Hereditary Thrombophilia"
},
{
"article_id": "60271",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Noridian Healthcare Solutions, LLC"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60271",
"status": "P",
"title": "Billing and Coding: MolDX: Genetic Testing for Hereditary Thrombophilia"
},
{
"article_id": "60273",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60273",
"status": "P",
"title": "Billing and Coding: MolDX: Molecular Testing for Solid Organ Allograft Rejection"
},
{
"article_id": "60274",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "2026-08-30",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60274",
"status": "A",
"title": "Billing and Coding: MolDX: Molecular Testing for Solid Organ Allograft Rejection"
},
{
"article_id": "60293",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"CGS Administrators, LLC"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60293",
"status": "P",
"title": "Billing and Coding: MolDX: Genetic Testing for Hereditary Thrombophilia"
},
{
"article_id": "60305",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60305",
"status": "P",
"title": "Billing and Coding: MolDX: Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis"
},
{
"article_id": "60306",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60306",
"status": "A",
"title": "Billing and Coding: MolDX: Biomarker Testing in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis"
},
{
"article_id": "60307",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60307",
"status": "P",
"title": "Billing and Coding: MolDX: Genetic Testing for Hereditary Thrombophilia"
},
{
"article_id": "60309",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Wisconsin Physicians Service Insurance Corporation"
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60309",
"status": "P",
"title": "Billing and Coding: MolDX: Non-Next Generation Sequencing Targeted Molecular Panel Tests for Predictive Testing in Cancer"
},
{
"article_id": "60409",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"National Government Services, Inc."
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60409",
"status": "P",
"title": "Billing and Coding: Molecular Pathology Procedures"
},
{
"article_id": "60423",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Novitas Solutions, Inc."
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60423",
"status": "P",
"title": "Billing and Coding: Urine-based Biomarkers in Patients with Microhematuria"
},
{
"article_id": "60425",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"First Coast Service Options, Inc."
],
"effective_date": "",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60425",
"status": "P",
"title": "Billing and Coding: Urine-based Biomarkers in Patients with Microhematuria"
}
],
"world_version": "hammer-coverage-intelligence:2026-10-01+2"
},
"receipt": "r36",
"session": "c52be156e5ecaef5003ce542964e306f",
"tool": "interpretation_requirement",
"world": {
"build": 2,
"description": "What payers publish that they pay, code by code, and what may be said with it.",
"name": "hammer-coverage-intelligence",
"vintage": "2026-10-01"
}
}Permanent saved result
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