MolDX

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Developed in 2011, the MolDX Program by Palmetto GBA performs the following functions:

  • Facilitates detailed and unique identification through registration of molecular diagnostics tests to facilitate claims processing and to track utilization.
  • Establishes clinical utility expectations
  • Completes technical assessments of published test data to determine clinical utility and coverage
  • Establishes reimbursement

The MolDX Manual (PDF, 148 KB) is available in print.

Critical Update

MolDX has released two new draft Local Coverage Determinations (LCDs) regarding next generation sequencing (NGS) testing for solid tumor and myeloid malignancies. Tests within the scope of these LCDs will undergo technical assessment by the MolDX program. This requirement will apply not only to new tests seeking coverage but also to tests that are currently covered to maintain coverage. Please Technical Assessment requirement for NGS Cancer Tests article for more information.

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