MolDX Gapfill Worksheet

The Gapfill worksheet (XLSX, 11 KB) is part of a required process for tests that must be priced by Palmetto GBA. This includes tests described by PLA codes or those that are not defined by current CPT codes in the CLFS. Labs must submit this form to Palmetto GBA as part of this process and it must be transparent and easy for them to do so. The MolDX website is the best location to store this for providers.