MolDX: Molecular Diagnostic Tests (MDT)
J15 · Effective Oct 1, 2015
29 active Medicare policies list 87633, and 9 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
J15 · Effective Apr 17, 2022
JE · Effective Apr 17, 2022
9 policies from 9 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 87633 |
|---|---|---|
| Polymerase Chain Reaction Testing: Selected Indications | Feb 9, 2024 | Covered |
| Policy | Effective | Status of 87633 |
|---|---|---|
| Polymerase Chain Reaction Respiratory Viral Panel Testing | Not recorded | Covered |
| Policy | Effective | Status of 87633 |
|---|---|---|
| Respiratory Viral Panel Testing in the Outpatient Setting | Oct 1, 2026 | Covered |
JF · Effective Apr 17, 2022
JJ · Effective Apr 17, 2022
JM · Effective Apr 17, 2022
J5 · Effective Apr 17, 2022
J8 · Effective Apr 17, 2022
J9 · Effective Jul 11, 2021
JK · Effective Dec 1, 2021
JH · Effective Jul 11, 2021
JL · Effective Jul 11, 2021
National · Effective Jul 1, 2026
National · Effective Jul 1, 2026
National · Effective Jul 1, 2026
J5 · Effective Jul 1, 2026
National · Effective Aug 6, 2026
National · Effective Aug 6, 2026
National · Effective May 14, 2026
J5 · Effective Aug 6, 2026
National · Effective Jan 1, 2026
National · Effective Jan 1, 2026
National · Effective Apr 1, 2026
| Policy | Effective | Status of 87633 |
|---|---|---|
| Nucleic Acid Pathogen Testing | Oct 1, 2026 | Not covered |
| Policy | Effective | Status of 87633 |
|---|---|---|
| Multiplex Pathogen Identification Panels for Infectious Disease | Jun 29, 2026 | Covered with conditions |
| Policy | Effective | Status of 87633 |
|---|---|---|
| Identification of Microorganisms Using Nucleic Acid Probes | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 87633 |
|---|---|---|
| Respiratory Pathogen Nucleic Acid Detection Testing | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 87633 |
|---|---|---|
| Respiratory Pathogen Nucleic Acid Detection Testing | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 87633 |
|---|---|---|
| Respiratory Pathogen Nucleic Acid Detection Testing | Oct 1, 2026 | Covered |