MolDX: Molecular Diagnostic Tests (MDT)
J15 · Effective Oct 1, 2015
11 active Medicare policies list 0469U, and 7 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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J15 · Effective Oct 1, 2015
JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J5 · Effective Feb 16, 2017
J8 · Effective Feb 16, 2017
National · Effective Jul 1, 2026
National · Effective Jul 1, 2026
7 policies from 6 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 0469U |
|---|---|---|
| Chromosomal Microarray Analysis | Jun 14, 2026 | Covered |
| Whole Exome Sequencing and Whole Genome Sequencing | Jun 14, 2026 | Covered |
| Policy | Effective | Status of 0469U |
|---|---|---|
| Concert Genetic Testing: Prenatal Diagnosis | Not recorded | Referenced |
National · Effective Jul 1, 2026
J5 · Effective Jul 1, 2026
| Policy | Effective | Status of 0469U |
|---|---|---|
| Invasive Prenatal Fetal Diagnostic Testing Using Chromosomal Abnormalities | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 0469U |
|---|---|---|
| Whole Exome and Whole Genome Sequencing (Non-Oncology Conditions) – Surest Medical Policy | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 0469U |
|---|---|---|
| Whole Exome and Whole Genome Sequencing (Non-Oncology Conditions) | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 0469U |
|---|---|---|
| Whole Exome and Whole Genome Sequencing (Non-Oncology Conditions) | Oct 1, 2026 | Covered |