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Blue Cross & Blue Shield of MississippiAll Plans · Coverage · Medical Policy · Hematology, OncologyMedium impact

Microarray-Based Gene Expression Profile Testing for Multiple Myeloma Risk Stratification

Effective date
Not stated in the notice
Identified
Jun 20, 2026

Summary

BCBSMS considers microarray-based gene expression profile (GEP) testing for multiple myeloma investigational for all indications. The policy states that further study is needed to confirm that GEP analysis can perform its proposed roles of personalizing therapy selection and avoiding over- or under-treating patients. The 04/21/2026 update removed information about the MyPRS and MyPRS Plus GEP70 test from the policy description, and the policy statement was unchanged.

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What to do

Action · 4 steps
01Billing team: GEP testing for multiple myeloma is investigational under this policy.
02The Policy Guidelines define investigative services as not yet recognized as a generally accepted standard of good medical practice and therefore not considered medically necessary.
03Codes 81479 (unlisted molecular pathology procedure), 81599 (unlisted multianalyte assay with algorithmic analysis), and 86849 (unlisted immunology procedure) are listed in the Investigational Codes table.
04The policy notes that the Mayo Clinic does not currently recommend or routinely perform GEP analysis in a nonresearch setting.

Codes mentioned

814798159986849

Original notice

Microarray-Based Gene Expression Profile Testing for Multiple Myeloma Risk Stratification
bcbsms.com · Always check the source before changing claims.
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