“Medicare […] will provide limited coverage for the EndoPredict breast cancer gene expression test for the management of post-menopausal women diagnosed with early-stage (TNM stage T1-3, N0-1) estrogen-receptor (ER) positive, Her2-negative breast cancer, who are either lymph node-negative or who have 1-3 positive nodes, and for whom treatment with adjuvant endocrine therapy (e.g., tamoxifen or aromatase inhibitors) is being considered.”
MolDX: EndoPredict Breast Cancer Gene Expression Test (37311), effective date 1/30/2018.
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Local Coverage Determination (LCD): MolDX: Pharmacogenomics Testing (L38394)
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Local Coverage Article (LCA): Billing and Coding – MolDX: Pharmacogenomic Testing (A58324)
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Prolaris® Prostate Cancer Genomic AssayL36350: LCD for NCCN very low- and low-riskL37082: LCD for NCCN favorable intermediate-risk
Prolaris® Prostate Cancer Genomic Assay
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From state licenses to ISO Accreditation, Myriad has several clinical laboratory certifications. You can find them here:
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