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Medicare Coverage of Genomic Testing – National Human Genome …

Medicare Coverage of Genomic. Testing. Louis B. Jacques, MD. Director, DID/
CAG/OCSQ. With acknowledgements to Jeff Roche, MD …

BRCA 1 and 2, HBOC, and BART Gene Test – Department of …

Jul 7, 2016 … The BRCA gene test uses blood for DNA analysis to identify changes …
Coverage is limited to that outlined in Medicaid Rule that pertains to the …

Coverage and Payment for Genetic Laboratory Tests – Office of …

At this meeting, 101 new genetic test codes for which no Medicare payment rates
exist …. For example, one MAC covers BRCA1 and BRCA2 genetic testing for …

Medicare National Coverage Determinations Manual –

210.2.1 Screening for Cervical Cancer with Human Papillomavirus (HPV) ….
Medicare will cover prostate cancer screening tests/procedures for the early.


Jan 25, 2013 … CMS does not construe this as a change to the MAC statement of Work. … The
HCPCS codes that are considered a laboratory test under CLIA change …..
BRCA1, BRCA2 (breast cancer 1 and 2)(e.g., hereditary breast and …

Update on Emerging Genetic Tests Currently Available … –

Jul 19, 2013 … Senior Director, Genetic Test Evaluation and Technical Editing …. The Coverage
and Analysis Group at the Centers for Medicare and Medicaid Services ……
Clinical Uses: Mutations in BRCA1 and BRCA2 explain hereditary …

Clinical Diagnostic Laboratory Fee Schedule 2016 CPT codes …

of Medicare). 36415. Routine venipuncture. 3.00. 78267. Breath tst attain/anal c-
14. 10.71. 78268. Breath test analysis c-14 …. Brca1 gene known fam variant.

Benefits Collaborative FAQs: Genetic Testing –

which genetic tests are covered under Colorado Medicaid? ….. In addition to
covering BRCA testing under the conditions already specified within CDC Tier 1,.

genetic testing benefit coverage standard – draft –

Colorado Medicaid also covers (as specified in the Additional Covered Tests
section … o Testing for the BRCA mutation is described on CDC Tier 1 and Tier 3.

Coverage and Reimbursement of Genetic Tests and Services

The Guide to Clinical Preventive Services 2014 – US Preventive …

complex topics, such as prostate and lung cancer screening, along with links to
informative Web …… counseling and, if indicated after counseling, BRCA testing.

Genetic Testing Criteria

Apr 15, 2016 … (excludes BRCA testing and 21-gene RT-PCR assays, which … Network (NCCN)
and the Centers for Medicare and Medicaid Services (CMS) …

March 2014 Medicaid Update – New York State Department of Health

Mar 15, 2014 … Increasing Colorectal Cancer Screening in New York State . … Changes in
Familial/Personal History Criteria for Medicaid BRCA Genetic …

Department of the Treasury Department of Labor Department of …

Jul 14, 2015 … David Mlawsky, Centers for Medicare & …. available at:
/Resources/ …. related to BRCA testing, contraception,.

Hereditary Cancer Risk and Management: An … – State of Michigan

and BRCA Mutation Testing for Breast and. Ovarian … hereditary cancer and
somatic testing through gene assay ….. neither she, nor her mother, meet


471-000-411 Nebraska Medicaid Fee Schedule for Clinical Lab. Payment for
services as outlined in this …. TEST,. IMMUNOASSAY, 1-3. SIMULTANEOUS.

CD Summary OHD6506: Using Genomics to Prevent Cancer

Jun 28, 2016 … (CMS). Hereditary breast and ovarian cancer (HBOC) and Lynch … cancer
syndromes covered under Tier 1 genomic testing applications.

Approved CPT Codes and Fees for 2016 – Florida Department of …

Approved Procedures Medicare "B" Maximum Allowable Fees … Cytopathology,
Liquid Based Pap Test, cervical or vaginal, collected in preservative fluid, ….. in
conjunction with a mammogram when a client has a BRCA mutation, a first-.

Effective October 1, 2016 2016 HCPCS CODE ADDITIONS – Medi-Cal

Oct 1, 2016 … An individual from a family member with a known deleterious BRCA mutation; …
The diagnostic or treatment strategy will be contingent on test results …. CPT-4
codes 90658 and 90748 are now Medicare non-covered codes.

CPT Code List – North Dakota Department of Health

Jan 1, 2017 … Women's Way CPT Code Medicare Part B Rate List. Effective … Screening
services includes CBE, mammogram, pelvic and Pap test. … when a client has
BRCA mutation, a first-degree relative who is a BRCA carrier, or has a.