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Tricare, DOD Not Paying for MoPath Codes, LDTs

Policies are inconsistent, causing confusion, and may force patients to pay for their testing

CEO SUMMARY: It turns out that labs serving Tricare patients are going unpaid for certain LDTs, molecular, and genetic tests. The issue of nonpayment began in January 2013 when Tricare stopped paying for these tests that were billed under the new molecular CPT codes that replaced the previous stacking codes. Among the tests in question …

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