AMA
Bionano Genomics Upbeat on Further Clinical Adoption of Optical Genome Mapping With New CPT Code
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The Category I CPT code paves the way for reimbursement of OGM-based clinical tests, though details on pricing and insurance coverage are still unclear.
The agency would provide reimbursement for a new set of six codes at $600 per test — a price much lower than expected.
The company previously launched its Concert Coding Engine to help standardize how genetic tests are coded and how labs can bill for them.
AMA Quickly Issuing New Proprietary Analyses Codes, but Will They Improve MDx Reimbursement?
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Since last year the AMA has issued 23 PLA codes for firms that want to better track use of their tests, but the effect of the codes on improving reimbursement remains to be seen.
NGS Test Coding Changes Slated for Discussion at 2017 CPT Editorial Panel Meeting
The panel's decisions could change the codes diagnostic companies use to bill payors for these tests, which could affect revenue.