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| Short Descr | ONC OROP/ANAL 17 DNA DDPCR | Medium Descr | ONC OROP/ANAL 17 BMRK DDPCR CELL FREE DNA ALG | Long Descr | Oncology (oropharyngeal or anal), evaluation of 17 DNA biomarkers using droplet digital PCR (ddPCR), cell-free DNA, algorithm reported as a prognostic risk score for cancer recurrence | CLIA Waived (QW) | No | APC Status Indicator | Service Paid under Fee Schedule or Payment System other than OPPS | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
| 90 | Reference (outside) laboratory: when laboratory procedures are performed by a party other than the treating or reporting physician or other qualified health care professional, the procedure may be identified by adding modifier 90 to the usual procedure number. | GZ | Item or service expected to be denied as not reasonable and necessary |
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| 2025-01-01 | Changed | First appearance of change in codebook. |
| 2024-01-01 | Added | First appearance in Codebook |
| 2024-01-01 | Changed | Short, Medium, and Long Descriptions changed. |
| 2023-01-01 | Added | Code added to AMA website 2022-09-30. Effective 2023-01-01 |
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