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Payers Bolix MDx Codes, Labs Unpaid for Months

Medicare contractors slow to create processes to reimburse for new molecular/genetic CPT codes

CEO SUMMARY: Clinical laboratories complain that implementation of a new payment system for molecular tests has been a disaster since January 1. Most contractors for the federal Centers for Medicare & Medicaid Services have not paid labs for molecular tests billed this year. Billing experts indicate that many commercial plans are not paying either. Groups …

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