About this policy
Summary of Evidence
Analysis of Evidence
General Information
Associated Information
Sources of Information
Bibliography
Revision History Information
Associated Documents
Attachments
Related Local Coverage Documents
Related National Coverage Documents
Public Versions
Keywords
Local Coverage Determination (LCD)
MolDX: DecisionDx-UM (Uveal Melanoma)
L37033
Expand All | Collapse All Email Document Download Add to basket
Contractor Information
Contractor Name Contract Type Contract Number Jurisdiction States
LCD Information
Document Information
LCD ID
L37033
LCD Title
MolDX: DecisionDx-UM (Uveal Melanoma)
Proposed LCD in Comment Period
N/A
Source Proposed LCD
DL37033
Original Effective Date
For services performed on or after 07/10/2017
Revision Effective Date
For services performed on or after 06/30/2022
Revision Ending Date
N/A
Retirement Date
N/A
Notice Period Start Date
05/25/2017
Notice Period End Date
07/09/2017
CPT codes, descriptions, and other data only are copyright 2025 American Medical Association. All Rights Reserved. Fee schedules, relative value units, conversion factors and/or related components
Coverage indications
This Medicare contractor will provide limited coverage for the DecisionDx-UM (Castle Bioscience, Inc.) test for the management of newly diagnosed uveal melanoma. This test is intended for the determination of metastatic risk, and to guide surveillance and referral to medical oncology (preferably an oncologist with expertise in melanoma) in patients who have a confirmed diagnosis of uveal melanoma (UM) and no evidence of metastatic disease.
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
Backwork has no codes on record for this policy. Check the source.