Investigational Gene Expression, Biomarker, and Multianalyte Testing
Effective date
Sep 1, 2026
Identified
Jun 16, 2026
Summary
Effective September 1, 2026, the gene expression, biomarker and multianalyte tests named in this policy are considered investigational because current scientific evidence is not sufficient to establish their impact on health outcomes. Contracts exclude investigational services from coverage, and providers may bill members for services that are considered investigational.
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01Already effective September 1, 2026: Services for the listed tests are considered investigational, and contracts exclude investigational services from coverage.
02Providers are encouraged to inform members before rendering these services that the members are likely to be financially responsible for the cost.
03Benefit determinations are based in all cases on the applicable contract language, which takes precedence over this policy.
Codes mentioned
8147981599
Original notice
Investigational Gene Expression, Biomarker, and Multianalyte Testing
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