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US Medicare Agency Proposes Expanding Coverage Of Next-Generation Sequencing For Advanced Cancers

 
• By Sue Darcey

There is sufficient evidence to expand coverage of next-generation sequencing (NGS) as a diagnostic test for ovarian, breast or other advanced cancers if certain criteria are met, the Centers for Medicare and Medicaid Services wrote in a 30 October proposed decision memo.

96 well plate for PCR processing, microbiological laboratory - Image

The US Centers for Medicare and Medicaid Services (CMS) proposed in a 30 October decision memo to expand use of next-generation sequencing (NGS) for breast and ovarian cancers if the patient has advanced cancers, and clinical indications for germline (inherited) testing and other criteria are met. Further, the agency would allow Medicare Administrative Contractors (MACs) to determine coverage of NGS tests for cancers other than breast or ovarian, if the patient has not previously had NGS testing.

Under the conditions spelled out in the proposed decision memo, the diagnostic laboratory test using NGS must first have...

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