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Coverage Decisions For AlloMap Molecular Testing To Detect Cardiac Allograft Rejections Left Up To MACs

 
• By Sue Darcey

The US CMS has proposed that due to low Medicare use, it will not nationally cover AlloMap molecular tests to detect cardiac allograft rejections.

DNA

The US Centers for Medicare and Medicaid Services (CMS) has proposed to not issue a National Coverage Determination (NCD) for AlloMap molecular testing to detect rejection of cardiac allografts, leaving any coverage decisions on use of the diagnostics up to local Medicare contractors instead.

Due to the very low number of tests – which are performed on fewer than 1% of Medicare beneficiaries –...

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